Organization · Type 2 NPI
Indianola Residential, LLC
Mental Illness Community Based Residential Treatment Facility · Indianola, IA
NPI number
1255412995
Active
Practice location
401 W Salem Ave
Indianola, IA 50125-2439
Mailing address
5095 Windsor Cir
Pleasant Hill, IA 50327-0908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 910290 (IA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1255412995
Indianola Residential, LLC's National Provider Identifier is 1255412995, issued on Oct 18, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Indianola, IA. The record was last updated on Aug 22, 2020.