Whalio Doctors

NPI 1417322728

Good Samaritan Society

Organisation Physical Disabilities Residential Treatment Facility Holstein, IA

Practice location

Address
721 S Kiel St, Holstein, IA 51025-5041
Phone
(712) 330-2732

Authorised official

Name
Morgan Nicole Bode
Title
Occupational Therapy Assistant
Phone
(712) 330-2732

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence 000999 (IA)

Registry record

NPI
1417322728
Entity type
Organization
NPI issued
11 Dec 2015
Record last updated
11 Dec 2015

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.