Organization
DELAWARE COUNTY COMMUNITY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GEHLING (COORDINATOR)
(563) 927-1077
Entity
Organization
Contact information
Practice address
601 GRANT STREET, MANCHESTER, IA 52057-2005
(563) 927-1077
Mailing address
601 GRANT STREET, MANCHESTER, IA 52057-2005
(563) 927-1077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138446
—
IA
05
—
0444125
—
IA
Enumeration date
01/11/2007
Last updated
08/22/2020
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