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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