Indianola Residential, LLC
Indianola Residential, LLC is a Mental Illness Community Based Residential Treatment Facility in Indianola, Iowa. Licensed in Iowa. Registered with an NPI since 2006.
- Licensed in
- IA
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
401 W Salem AveIndianola, IA 50125-2439
Phone: (515) 961-2556
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 910290 (IA) |
|---|
Record details
| NPI number | 1255412995 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Hemness — Owner · (515) 250-0670 |
| Other names | Indianola Residential |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5095 Windsor Cir, Pleasant Hill, IA 50327-0908 |