Organization
IDA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET JOHNSON (EXECUTIVE DIRECTOR)
(712) 365-4339
Entity
Organization
Contact information
Practice address
651 1ST ST, BATTLE CREEK, IA 51006
(712) 365-4339
(712) 365-4566
Mailing address
651 1ST ST, PO BOX 16, BATTLE CREEK, IA 51006-5001
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W0519
—
IA
05
—
W1205
—
IA
05
—
W1207
—
IA
05
—
W1425
—
IA
05
—
W1430
—
IA
05
—
W1431
—
IA
05
—
W5020
—
IA
05
—
W5021
—
IA
Enumeration date
02/19/2008
Last updated
04/04/2011
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