Organization
CERRO GORDO COUNTY CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH NELSON LBSW (DIRECTOR)
(641) 421-3122
Entity
Organization
Contact information
Practice address
3 4TH ST NE, MASON CITY, IA 50401-7001
(641) 421-3122
(641) 421-3132
Mailing address
220 N WASHINGTON AVE, MASON CITY, IA 50401-3220
(641) 421-3122
(641) 421-3132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054726
—
IA
05
—
0741231
—
IA
Enumeration date
04/23/2007
Last updated
09/19/2007
Update your record
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