Organization
GLENWOOD RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (BUSINESS OFFICE ADMINISTRATOR)
(712) 525-1214
Entity
Organization
Contact information
Practice address
711 S VINE ST, GLENWOOD, IA 51534-1927
(712) 525-1214
Mailing address
711 S VINE ST, GLENWOOD, IA 51534-1927
(712) 525-1214
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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