Organization
COMPREHENSIVE SYSTEMS, INC
Active
Other names
Fourth Avenue Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BROWN (EXECUTIVE DIRECTOR)
(641) 228-4842
Entity
Organization
Contact information
Practice address
710 4TH AVE, CHARLES CITY, IA 50616-3043
(641) 228-4842
(641) 228-4675
Mailing address
1700 CLARK ST, PO BOX 457, CHARLES CITY, IA 50616-0457
(641) 228-4842
(641) 228-4675
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
340574
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880500
—
IA
Enumeration date
12/19/2006
Last updated
08/22/2020
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