Organization
INNOVATIVE INDUSTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M ROMMES (PRESIDENT)
(641) 782-8495
Entity
Organization
Contact information
Practice address
215 N WALNUT ST, CRESTON, IA 50801-2441
(641) 782-8495
(641) 782-6889
Mailing address
215 N WALNUT ST, CRESTON, IA 50801-2441
(641) 782-8495
(641) 782-6889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117192
—
IA
05
—
0230185
—
IA
Enumeration date
01/25/2007
Last updated
08/22/2020
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