Organization
SCENIC ACRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA F. SEIFERT (ADMINISTRATOR)
(563) 245-2640
Entity
Organization
Contact information
Practice address
23105 GRANITE AVENUE, SAINT OLAF, IA 52074-8049
(563) 245-2640
(563) 245-1945
Mailing address
23105 GRANITE AVENUE, SAINT OLAF, IA 52074-8049
(563) 245-2640
(563) 245-1945
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0418152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418152
—
IA
Enumeration date
05/03/2007
Last updated
08/22/2020
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