NPI 1235258658
Chariton Group Home Develop Corp
Practice location
- Address
- 1221 Brookdale Ave, Chariton, IA 50049-1531
- Phone
- (641) 774-8252
- Mailing address
- PO Box 462, Chariton, IA 50049-1531
Authorised official
- Name
- Donna Jean Small
- Title
- Adm of Group Home
- Phone
- (641) 774-8252
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1235258658
- Entity type
- Organization
- NPI issued
- 28 Mar 2007
- 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.