NPI 1255412995

Indianola Residential, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Indianola, IA

Practice location

Address: 401 W Salem Ave, Indianola, IA 50125-2439
Phone: (515) 961-2556
Mailing address: 5095 Windsor Cir, Pleasant Hill, IA 50327-0908

Authorised official

Name: Russell Lee Hemness
Title: Owner
Phone: (515) 250-0670

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 910290 (IA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Iowa →

Registry record

NPI: 1255412995
Entity type: Organization
NPI issued: 18 Oct 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.