Organization
HEARTLAND FAMILY SERVICE
Active
Other names
Family Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JEANETTA (PRESIDENT CEO)
(402) 552-7402
Entity
Organization
Contact information
Practice address
302 1/2 S LOCUST ST, GLENWOOD, IA 51534-1825
(712) 527-2177
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
(402) 553-3133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
NE
Enumeration date
12/06/2006
Last updated
12/11/2019
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