Organization
COMMUNITY CARE OF IOWA, LLC
Active
Organization
COMMUNITY CARE OF IOWA, LLC
Active
Other names
Not applicable
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BOEHM JR. LNHA (PRESIDENT)
(712) 210-6296
Entity
Organization
Contact information
Practice address
4755 PARKRIDGE AVE, PLEASANT HILL, IA 50327-7228
(712) 210-6296
Mailing address
508 WESTRIDGE DR, CARROLL, IA 51401-3294
(712) 210-6296
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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