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Organization

IDA SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGARET ANN JOHNSON (EXECUTIVE DIRECTOR)
(712) 365-4339
Entity
Organization

Contact information

Practice address
651 FIRST, BATTLE CREEK, IA 51006-0016
(712) 365-4339
(712) 365-4566
Mailing address
PO BOX 16, BATTLE CREEK, IA 51006-0016
(712) 365-4339
(712) 365-4566

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NA
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0124891
IA
05
0240358
IA
05
1240358
IA
05
W0519
IA
05
W0719
IA
05
W0720
IA
05
W0721
IA
05
W0722
IA
05
W1300
IA
05
W1311
IA
05
W1414
IA
05
W1425
IA
05
W1430
IA
05
W1431
IA
05
W5020
IA
05
W5021
IA
Enumeration date
11/08/2006
Last updated
06/20/2008
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