Organization
RISE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOSTEN (EXECUTIVE DIRECTOR)
(563) 245-1868
Entity
Organization
Contact information
Practice address
106 RAINBOW DR, ELKADER, IA 52043-9075
(563) 245-1868
Mailing address
106 RAINBOW DR, ELKADER, IA 52043-9075
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
220379
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588756639
—
IA
05
—
X000124933
—
IA
05
—
X000204902
—
IA
Enumeration date
07/27/2015
Last updated
07/27/2015
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