Organization
DEVELOPMENTAL DISABILITY CENTER OF IOWA LLC
Active
Other names
DDCI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RACHIDI ADEDOKOUN (CEO)
(402) 557-8583
Entity
Organization
Contact information
Practice address
2135 AVENUE C, COUNCIL BLUFFS, IA 51501-2314
(402) 686-6974
Mailing address
1805 N 73RD ST, OMAHA, NE 68114-1905
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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