Organization
CHANCE MR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZBETH WILKINSON (PRESIDENT/ADMINISTRATOR)
(641) 322-3291
Entity
Organization
Contact information
Practice address
600 8TH ST, CORNING, IA 50841-1406
(641) 322-3434
(641) 322-3600
Mailing address
600 8TH ST, PO BOX 409, CORNING, IA 50841-1406
(641) 322-3434
(641) 322-3600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482497
—
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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