Organization
CHARITON GROUP HOME DEVELOP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JEAN SMALL BA AND BS IN SECONDA (ADM OF GROUP HOME)
(641) 774-8252
Entity
Organization
Contact information
Practice address
1221 BROOKDALE AVE, CHARITON, IA 50049-1531
(641) 774-8252
Mailing address
PO BOX 462, CHARITON, IA 50049-1531
(641) 774-8252
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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