Center Village, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1376670034

Center Village, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Keosauqua, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in: IA
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

19248 Maple Ave
Keosauqua, IA 52565-8288
Phone: (319) 293-3107
Fax: (319) 293-3885

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary)	Taxonomy 320800000X · Licence 890403 (IA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility	Taxonomy 320600000X · Licence 0895839 (IA)

Record details

NPI number	1376670034
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Karla Winslow — Executive Director · (319) 293-3107
NPI enumerated	February 28, 2007
Last updated in NPPES	July 16, 2007
Mailing address	19248 Maple Ave, Keosauqua, IA 52565-8288