Organization
COUNTY OF BREMER
Active
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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