Organization
KIDS FIRST ENTERPRIZE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY KENT KEIL MSHS (PRESIDENT/CEO)
(515) 334-5025
Entity
Organization
Contact information
Practice address
4467 INDEPENDENCE DR, PLEASANT HILL, IA 50327-1734
(515) 334-5025
Mailing address
4467 INDEPENDENCE DR, PLEASANT HILL, IA 50327-1734
(515) 334-5025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/05/2007
Last updated
08/20/2010
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