Organization
WOODWARD RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON REYNOLDS (BUSINESS)
(515) 438-3622
Entity
Organization
Contact information
Practice address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3121
(515) 438-3122
Mailing address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3121
(515) 438-3122
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122812
—
IA
Enumeration date
03/09/2007
Last updated
09/23/2022
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