Organization
CONSUMER DESIGNED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNA J DANIELSON (HR/FINANCE COORD)
(563) 288-9530
Entity
Organization
Contact information
Practice address
101 W MISSISSIPPI DR, SUITE MO1, MUSCATINE, IA 52761-3734
(563) 288-9530
Mailing address
101 W MISSISSIPPI DR, SUITE MO1, MUSCATINE, IA 52761-3734
(563) 288-9530
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227793
—
IA
05
—
0266700
—
IA
Enumeration date
10/13/2006
Last updated
08/22/2020
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