Organization
CHRISTIAN OPPORTUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE PATRICK KEEGAN (FINANCE DIRECTOR)
(641) 628-8087
Entity
Organization
Contact information
Practice address
1553 BROADWAY ST, PELLA, IA 50219-1099
(641) 628-1162
(641) 628-8682
Mailing address
1553 BROADWAY ST, PELLA, IA 50219-1099
(641) 628-1162
(641) 628-8682
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0881151
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109215
—
IA
Enumeration date
06/20/2006
Last updated
08/22/2020
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