Organization
ABCM CORPORATION
Active
Other names
West Village Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERTS (CFO)
(641) 456-5636
Entity
Organization
Contact information
Practice address
1610 3RD ST NE, INDEPENDENCE, IA 50644-2228
(319) 334-6039
(319) 334-9025
Mailing address
1320 4TH ST NE, HAMPTON, IA 50441-1104
(641) 456-5636
(641) 456-2320
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653030
—
IA
Enumeration date
11/07/2006
Last updated
10/09/2009
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