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Organization

COMMUNITY CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN WRIGHT (EXECUTIVE DIRECTOR)
(563) 659-4100
Entity
Organization

Contact information

Practice address
1611 330TH AVE, CHARLOTTE, IA 52731-9682
(563) 659-4100
(563) 677-2312
Mailing address
108 INDUSTRIAL ST, DE WITT, IA 52742-2063
(563) 659-4100
(563) 659-1120

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
230904
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02-43329
IA
Enumeration date
02/28/2007
Last updated
08/22/2020
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