Organization
RISE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOSTEN (EX. DIRECTOR)
(563) 245-1868
Entity
Organization
Contact information
Practice address
106 RAINBOW DR, ELKADER, IA 52043-9075
(563) 245-1868
(563) 245-2859
Mailing address
106 RAINBOW DR, ELKADER, IA 52043-9075
(563) 245-1868
(563) 245-2859
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894048
—
IA
Enumeration date
09/28/2006
Last updated
08/22/2020
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