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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