NPI 1992032965

Woodlands Creek Active Retirement Community

Organisation Lodging Provider Clive, IA

Practice location

Address: 12605 Woodlands Pkwy, Clive, IA 50325-8701
Phone: (515) 223-9755
Fax: (515) 223-9875

Authorised official

Name: Derrick Johnson
Title: Executive Director
Phone: (515) 223-9755

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 177F00000X (IA)

Other Lodging providers in Iowa →

Registry record

NPI: 1992032965
Entity type: Organization
NPI issued: 11 Nov 2009
Record last updated: 11 Nov 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.