NPI 1003566985

Chelsae Wagner

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Wyoming, IA

Practice location

Address: 8005 County Road E45, Wyoming, IA 52362-7514
Phone: (319) 929-8702

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Assisted Living Facility (Mental Illness)

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Assisted Living Facility (Behavioral Disturbances)

Nursing & Custodial Care Facilities Taxonomy 3104A0630X

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1003566985
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2022
Record last updated: 24 Mar 2022

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.