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Organization

REGIONAL ENTERPRISES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS SIEMERS (CEO)
(641) 682-7511
Entity
Organization

Contact information

Practice address
312 E ALTA VISTA AVE, OTTUMWA, IA 52501-1413
(641) 682-7511
(641) 683-2862
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
(641) 683-2862

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1265
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265
STATE LICENSE
IA
Enumeration date
06/09/2008
Last updated
06/18/2008
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