Organization
CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE
Active
Parent organization
CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE
Other names
LifeScape AbleKids
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE
Authorized official
MRS. AMY M JENSEN (DIRECTOR OF OUTPATIENT OPERATIONS)
(605) 444-9711
Entity
Organization
Contact information
Practice address
2524 GLENN AVE, SIOUX CITY, IA 51106-2768
(712) 226-2253
Mailing address
2524 GLENN AVE, SIOUX CITY, IA 51106
(712) 226-2253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004071
IA
225X00000X
Occupational Therapist
Primary
001932
IA
235Z00000X
Speech-Language Pathologist
01736
IA
Other
Enumeration date
12/21/2009
Last updated
03/29/2018
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