Organization
BALANCE AUTISM
Active
Other names
The Homestead Autism Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUANN JAHNER (OPERATIONS DIRECTOR)
(515) 957-3342
Entity
Organization
Contact information
Practice address
1625 ADVENTURELAND DR STE B, ALTOONA, IA 50009-2237
(515) 967-4369
(515) 957-3380
Mailing address
8272 NE UNIVERSITY AVENUE, PLEASANT HILL, IA 50327-8030
(515) 967-4369
(515) 957-3380
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
1MR844
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
770938
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129635
—
IA
05
—
0881276
—
IA
05
—
0881763
—
IA
Enumeration date
01/04/2007
Last updated
11/15/2018
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