Organization
LINNHAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MARIE PITLIK (EXECUTIVE DIRECTOR)
(319) 377-9788
Entity
Organization
Contact information
Practice address
1199 BLAIRS FERRY RD, MARION, IA 52302-3013
(319) 377-9788
(319) 377-7641
Mailing address
1199 BLAIRS FERRY RD, MARION, IA 52302-3013
(319) 377-9788
(319) 377-7641
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
IA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106526
—
IA
05
—
0260109
—
IA
Enumeration date
12/18/2006
Last updated
09/11/2025
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