NPI 1366516114

Story County Community Life Program

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Ames, IA

Practice location

Address: 620 Duluth St, Ames, IA 50010-8558
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

Residential Treatment Facilities Taxonomy 320600000X Licence 850672 (IA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Iowa →

Registry record

NPI: 1366516114
Entity type: Organization
NPI issued: 20 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.