NPI 1245364082
Polk County
Practice location
- Address
- 2309 Euclid Ave, Des Moines, IA 50310-5703
- Phone
- (515) 243-4545
- Fax
- (515) 243-8447
Authorised official
- Name
- Lynn Ferrell
- Title
- Executive Director
- Phone
- (515) 243-4545
Registered specialties (2)
Case Management Agency
Primary
Supports Brokerage Agency
Registry record
- NPI
- 1245364082
- Entity type
- Organization
- NPI issued
- 15 Mar 2007
- Record last updated
- 19 Apr 2012
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.