Organization
HUMBOLDT WORKSHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN MARIE KELLNER (CHIEF FINANCIAL OFFICER)
(515) 332-2841
Entity
Organization
Contact information
Practice address
21 TAFT ST N, HUMBOLDT, IA 50548-1768
(515) 332-2841
(515) 332-1915
Mailing address
21 TAFT ST N, HUMBOLDT, IA 50548-1768
(515) 332-2841
(515) 332-1915
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137869
—
IA
Enumeration date
11/20/2006
Last updated
07/21/2022
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