Organization
INDEPENDENT CASE MANAGEMENT
Active
Other names
Southeast Iowa Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ANN ALEXANDER LBSW (CEO)
(641) 472-3523
Entity
Organization
Contact information
Practice address
101 N 16TH ST, FAIRFIELD, IA 52556-4313
(641) 472-3523
(641) 472-0656
Mailing address
101 N 16TH ST, FAIRFIELD, IA 52556-4313
(641) 472-3523
(641) 472-0656
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064519
—
IA
05
—
0166538
—
IA
05
—
0741827
—
IA
Enumeration date
01/04/2007
Last updated
08/22/2020
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