NPI 1790983021

Childserve Homes INC.

Organisation Intellectual Disabilities Intermediate Care Facility Johnston, IA

Practice location

Address: 5555 NW 55th Ave, Johnston, IA 50131-1367
Phone: (515) 270-0543
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 771151 (IA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Iowa →

Registry record

NPI: 1790983021
Entity type: Organization
NPI issued: 9 Jul 2007
Record last updated: 23 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.