Organization
DALLAS COUNTY CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS BAKER (EXECUTIVE DIRECTOR)
(515) 993-4721
Entity
Organization
Contact information
Practice address
25747 N AVE, ADEL, IA 50003-8277
(515) 993-4721
(515) 993-5832
Mailing address
25747 N AVE, ADEL, IA 50003-8277
(515) 993-4721
(515) 993-5832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0469783
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893750
—
IA
Enumeration date
01/12/2007
Last updated
10/01/2009
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