Organization
REM IOWA COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR. ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
100 E KIMBERLY RD STE 603, DAVENPORT, IA 52806-5924
(563) 445-0724
(563) 445-8441
Mailing address
1220 INDUSTRIAL AVE STE COFFICE, HIAWATHA, IA 52233-1118
(319) 294-0264
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119198
—
IA
Enumeration date
12/14/2006
Last updated
06/23/2024
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