Organization · Type 2 NPI
Community Care, Inc.
Intellectual Disabilities Intermediate Care Facility · De Witt, IA
NPI number
1720140403
Active
Practice location
915 10th St
De Witt, IA 52742-1252
Fax (563) 659-1120
Mailing address
108 Industrial St
De Witt, IA 52742-2063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 230519 (IA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1720140403
Community Care, Inc.'s National Provider Identifier is 1720140403, issued on Dec 15, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in De Witt, IA. The record was last updated on Aug 22, 2020.