Organization
WILLIAM EADIE RESIDENTIAL SERVICES, INC.
Active
Other names
CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M ROMMES PH.D. (PRESIDENT)
64178288495
Entity
Organization
Contact information
Practice address
500 OPAL ST, AFTON, IA 50830-1078
(641) 347-5611
(641) 347-5038
Mailing address
500 OPAL ST, AFTON, IA 50830-1078
(641) 347-5611
(641) 347-5038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R-880682 & R-880683
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233528
—
IA
05
—
0463406
—
IA
05
—
0895482
—
IA
Enumeration date
01/29/2007
Last updated
06/25/2008
Update your record
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