Individual
JAMES GOODLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2816 NW 32ND LN, ANKENY, IA 50023-1470
(515) 943-1471
Mailing address
2816 NW 32ND LN, ANKENY, IA 50023-1470
(515) 943-1471
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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