Organization
VILLAGE NORTHWEST UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY W WHITSELL (CHIEF EXECUTIVE OFFICER)
(712) 324-4873
Entity
Organization
Contact information
Practice address
330 VILLAGE CIR, SHELDON, IA 51201-1243
(712) 324-4873
(712) 324-4877
Mailing address
330 VILLAGE CIR, SHELDON, IA 51201-1243
(712) 324-4873
(712) 324-4877
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094615
—
IA
05
—
0880039
—
IA
05
—
0890988
—
IA
05
—
0894949
—
IA
Enumeration date
06/15/2006
Last updated
09/11/2025
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