Organization
LOUISA COUNTY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT FOOR (TARGETED CASE MANAGEMENT DIRECTOR)
(319) 523-5125
Entity
Organization
Contact information
Practice address
407 WASHINGTON ST, WAPELLO, IA 52653-1431
(319) 523-5125
Mailing address
407 WASHINGTON ST, WAPELLO, IA 52653-1431
(319) 523-5125
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0071654
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071654
PROVIDER NUMBER
IA
Enumeration date
01/17/2007
Last updated
08/22/2020
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