Organization
RINGGOLD COUNTY GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED V SHIELDS QMRP (ADMINISTRATOR)
(641) 464-2871
Entity
Organization
Contact information
Practice address
111 RINGGOLD ST, MOUNT AYR, IA 50854-1215
(641) 464-2871
(641) 464-3137
Mailing address
111 RINGGOLD STREET, MOUNT AYR, IA 50854
(641) 464-2871
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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