Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Ottumwa Crest Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L SWIGERT (BUDGET & FINANCE COORDINATOR)
(515) 331-1200
Entity
Organization
Contact information
Practice address
611 CHURCH ST, OTTUMWA, IA 52501-4239
(641) 682-4624
(641) 682-0601
Mailing address
611 CHURCH ST, OTTUMWA, IA 52501-4239
(641) 682-4624
(641) 682-0601
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0892455
SSA VENDOR #
IA
05
—
1121798
—
IA
Enumeration date
01/12/2007
Last updated
08/22/2020
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