Organization
COUNTY OF BREMER
Active
Other names
Bremer County Community Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ISAACSON (DIRECTOR)
(319) 352-2990
Entity
Organization
Contact information
Practice address
112 10TH STREET S.W., WAVERLY, IA 50677
(319) 352-2990
(319) 352-2979
Mailing address
112 10TH STREET S.W., WAVERLY, IA 50677
(319) 352-2990
(319) 352-2979
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136275
—
IA
05
—
0229096
—
IA
05
—
1229096
—
IA
Enumeration date
07/05/2006
Last updated
07/29/2008
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