Whalio Doctors

NPI 1851526586

Story County Community Life Program

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

Practice location

Address
104 S Hazel Ave, Ames, IA 50010-5952
Phone
(515) 956-2600
Fax
(515) 956-2609

Authorised official

Name
Gayla R Harken
Title
Director
Phone
(515) 956-2602

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 0895425 (IA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 0895433 (IA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 0895441 (IA)

Registry record

NPI
1851526586
Entity type
Organization
NPI issued
26 May 2009
Record last updated
26 May 2009

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.