Organization
CENTERVILLE COMMUNITY BETTERMENT INC ZYLPHA PRICE HOUSE
Active
Organization
CENTERVILLE COMMUNITY BETTERMENT INC ZYLPHA PRICE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ANN SHARP LISW (ADMINISTRATOR)
(641) 437-1051
Entity
Organization
Contact information
Practice address
1111 N HAYNES AVE, CENTERVILLE, IA 52544-1133
(641) 437-1051
(641) 437-1404
Mailing address
1111 N HAYNES AVE, CENTERVILLE, IA 52544-1133
(641) 437-1051
(641) 437-1404
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0131276
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131276
—
IA
Enumeration date
11/01/2006
Last updated
12/08/2009
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