Organization
FAMILY WELLNESS ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CAPERS LISW (OWNER)
(712) 294-4230
Entity
Organization
Contact information
Practice address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 294-4230
(712) 276-6040
Mailing address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 294-4230
(712) 522-3346
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
006993
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013490
—
IA
Enumeration date
09/27/2015
Last updated
08/11/2020
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