Organization
COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN WRIGHT (EXECUTIVE DIRECTOR)
(563) 659-4100
Entity
Organization
Contact information
Practice address
915 10TH ST, DE WITT, IA 52742-1252
(563) 659-4100
(563) 659-1120
Mailing address
108 INDUSTRIAL ST, DE WITT, IA 52742-2063
(563) 659-4100
(563) 659-1120
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230519
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881995
—
IA
Enumeration date
12/15/2006
Last updated
08/22/2020
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