Organization
WASHINGTON COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRIS E GAUGHAN (SITE MANAGER FOR NUTRITION PROGRAM)
(319) 653-5300
Entity
Organization
Contact information
Practice address
121 E MAIN, WASHINGTON, IA 52353-2092
(319) 653-5300
(319) 653-2142
Mailing address
121 E MAIN, WASHINGTON, IA 52353-2092
(319) 653-5300
(319) 653-2142
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177725
—
IA
Enumeration date
08/14/2007
Last updated
08/14/2007
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