Organization
VITA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BELL (OWNER)
(515) 333-3463
Entity
Organization
Contact information
Practice address
1725 6TH AVE, DES MOINES, IA 50314-3304
(515) 244-1895
Mailing address
1725 6TH AVE, DES MOINES, IA 50314-3304
(515) 244-1895
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
770488
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437542180
NPI
IA
Enumeration date
03/23/2015
Last updated
03/23/2015
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