Organization
PRAIRIE VALLEY CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ANN FRAHM (DISTRICT OFFICE MANAGER)
(515) 352-5571
Entity
Organization
Contact information
Practice address
1005 RIDDLE ST, BOX 49, GOWRIE, IA 50543-7730
(515) 352-5571
Mailing address
1005 RIDDLE ST, BOX 49, GOWRIE, IA 50543-7730
(515) 352-5571
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461053
—
IA
Enumeration date
12/24/2007
Last updated
12/24/2007
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