Organization
SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES
Active
Other names
Shelter House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN SULLIVAN (MENTAL HEALTH RECOVERY MANAGER)
(319) 338-5416
Entity
Organization
Contact information
Practice address
429 SOUTHGATE AVE, IOWA CITY, IA 52240
(319) 338-5416
(319) 358-7132
Mailing address
PO BOX 3146, IOWA CITY, IA 52244-3146
(319) 338-5416
(319) 358-7132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000110127
—
IA
05
—
X000158000
—
IA
Enumeration date
01/18/2013
Last updated
03/20/2017
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