# HANDICAP VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Opportunity Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760533590
- **Authorized official:** GREGORY BRAUN (CFO)
- **Authorized official phone:** (641) 355-1200

## Contact information

- **Practice address:** 1200 N 9TH ST W, CLEAR LAKE, IA 50428-1100
- **Practice address phone:** (641) 357-5277
- **Practice address fax:** (641) 357-6491
- **Mailing address:** PO BOX 622, CLEAR LAKE, IA 50428-0622
- **Mailing address phone:** (641) 357-5277
- **Mailing address fax:** (641) 357-6491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020