Individual provider · Type 1 NPI

Vivian Nenion Doe

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waukee, IA

NPI number 1164313615 Active

Practice location

1201 NW Williamsburg Ln
Waukee, IA 50263

Call (712) 843-4074 Map

Mailing address

1201 NW Williamburg Lane
Waukee, IA 50263

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1164313615

Vivian Nenion Doe's National Provider Identifier is 1164313615, issued on Jul 14, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waukee, IA. The record was last updated on Jul 14, 2025.