NPI 1760533590

Handicap Village

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

Practice location

Address: 1200 N 9th St W, Clear Lake, IA 50428-1100
Phone: (641) 357-5277
Fax: (641) 357-6491
Mailing address: PO Box 622, Clear Lake, IA 50428-0622

Authorised official

Name: Gregory Braun
Title: Cfo
Phone: (641) 355-1200

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1760533590
Entity type: Organization
NPI issued: 16 Jan 2007
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.