NPI 1164597340
Story County Community Life Program
Practice location
- Address
- 124 S Hazel Ave, Ames, IA 50010-5952
- Phone
- (515) 956-2600
- Fax
- (515) 956-2609
- Mailing address
- 104 S Hazel Ave, Ames, IA 50010-5952
Authorised official
- Name
- Gayla R Harken
- Title
- Director
- Phone
- (515) 956-2600
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1164597340
- Entity type
- Organization
- NPI issued
- 22 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.