Organization
DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HOOGESTRAAT (SUPERINTENDENT)
(712) 527-4811
Entity
Organization
Contact information
Practice address
711 S VINE ST, GLENWOOD, IA 51534-1927
(712) 527-4811
(712) 525-1389
Mailing address
711 S VINE ST, GLENWOOD, IA 51534-1927
(712) 527-4811
(712) 525-1389
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
I-152
IA
Other
Enumeration date
01/02/2007
Last updated
09/02/2008
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