NPI 1538387857

Childserve Habilitation Center INC.

Organisation Intellectual Disabilities Intermediate Care Facility Johnston, IA

Practice location

Address: 5900 Pioneer Pkwy, Johnston, IA 50131-1569
Phone: (515) 270-2205
Fax: (515) 276-0140
Mailing address: PO Box 707, Johnston, IA 50131-0707

Authorised official

Name: Rodney Wildrick
Title: Director of Accounting
Phone: (515) 727-1468

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 770916 (IA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Iowa →

Registry record

NPI: 1538387857
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 10 Jul 2007

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.