Organization
HIGHLAND CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEV COLBERT (BOARD SECRETARY/BUSINESS MANAGER)
(319) 648-3822
Entity
Organization
Contact information
Practice address
1715 VINE AVE, RIVERSIDE, IA 52327-9013
(319) 648-3822
(319) 648-4055
Mailing address
PO BOX B, RIVERSIDE, IA 52327-0481
(319) 648-3822
(319) 648-4055
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458307
—
IA
Enumeration date
06/11/2007
Last updated
08/16/2007
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