Organization
SOUTHERN IOWA INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY ANN ALEXANDER LBSW (CEO)
(641) 919-8003
Entity
Organization
Contact information
Practice address
2219 W HILLS DR, FAIRFIELD, IA 52556-4739
(641) 919-8003
Mailing address
2219 W HILLS DR, FAIRFIELD, IA 52556-4739
(641) 919-8003
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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