NPI 1588444335
Champions Developmental Care
Practice location
- Address
- 4620 E 53rd St STE 200, Davenport, IA 52807-3627
- Phone
- (563) 949-1148
Authorised official
- Name
- Dwayne Harris
- Title
- Ceo
- Phone
- (563) 949-1148
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1588444335
- Entity type
- Organization
- NPI issued
- 29 Sep 2023
- Record last updated
- 29 Sep 2023
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.