Organization
BUENA VISTA COUNTY COMMUNITY SERVICES
Active
Other names
Governmental Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN R MENTZER (CPC DIRECTOR)
(712) 749-2556
Entity
Organization
Contact information
Practice address
541 CAYUGA ST, STORM LAKE, IA 50588
(712) 749-2556
(712) 749-2707
Mailing address
541 CAYUGA ST, STORM LAKE, IA 50588
(712) 749-2556
(712) 749-2707
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062331
—
IA
Enumeration date
05/03/2006
Last updated
08/22/2020
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