Organization
REM IOWA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR. ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
29 36TH AVE SW, CEDAR RAPIDS, IA 52404-4641
(319) 364-7177
(319) 364-7598
Mailing address
1220 INDUSTRIAL AVE STE C, HIAWATHA, IA 52233-1118
(319) 393-1944
(319) 393-2091
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880492
—
IA
Enumeration date
12/14/2006
Last updated
06/23/2024
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