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Organization

SOUTHWEST IOWA CASE MANAGEMENT

Active
Parent organization
PAGE COUNTY GOVERNMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
PAGE COUNTY GOVERNMENT
Authorized official
MS. JANE MILLER (ADMINISTRATOR)
(712) 542-2983
Entity
Organization

Contact information

Practice address
112 E MAIN ST, CLARINDA, IA 51632-2141
(712) 542-2983
(712) 542-2370
Mailing address
112 E MAIN ST, CLARINDA, IA 51632-2141
(712) 542-2983
(712) 542-2370

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
IAC- CHAPTER 24
IA
251C00000X
Developmentally Disabled Services Day Training Agency
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153502
IA
05
0162321
IA
05
0746545
IA
Enumeration date
01/16/2007
Last updated
02/03/2012
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