Organization
SUCCESSFUL LIVING
Active
Organization
SUCCESSFUL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R BOWERS (EXECUTIVE DIRECTOR)
(319) 358-6800
Entity
Organization
Contact information
Practice address
409 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
(319) 358-6800
Mailing address
409 HIGHWAY 1 W, IOWA CITY, IA 52246-4205
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IA
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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