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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