Organization · Type 2 NPI

Story County Community Life Program

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ames, IA

NPI number 1366516114 Active

Practice location

620 Duluth St
Ames, IA 50010-8558

Fax (515) 956-2609

Mailing address

104 S Hazel Ave
Ames, IA 50010-5952

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X850672 (IA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1366516114

Story County Community Life Program's National Provider Identifier is 1366516114, issued on Nov 20, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Ames, IA. The record was last updated on Aug 22, 2020.