Organization
BROADLAWNS MEDICAL CENTER
Active
Other names
CAP SUPPORTED COMMUNITY LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J MANDRACCHIA DPM (CHIEF MEDICAL OFFICER)
(515) 282-2562
Entity
Organization
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314
(515) 282-6810
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314
(515) 282-6810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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