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Organization
MARION COUNTY CARE FACILITY OF COMMUNITY CARE, INC
Active
Organization
MARION COUNTY CARE FACILITY OF COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN WRIGHT (EXECUTIVE DIRECTOR)
(563) 659-4100
Entity
Organization
Contact information
Practice address
210 W MAIN ST, KNOXVILLE, IA 50138-2529
(563) 659-4100
Mailing address
108 INDUSTRIAL ST, DE WITT, IA 52742-2063
(563) 659-4100
(563) 659-1120
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
IA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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