Organization
WOODBRIDGE HAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA OLIPHANT (PRESIDENT)
(319) 213-3039
Entity
Organization
Contact information
Practice address
501 FRONT DR, TODDVILLE, IA 52341-9650
(319) 213-3039
Mailing address
2395 14TH AVE, MARION, IA 52302-2014
(319) 213-3039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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