Organization
VILLAGE ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE HIGGINBOTHAM LBSW (DIRECTOR)
(515) 451-9392
Entity
Organization
Contact information
Practice address
1208 CLARK AVE, AMES, IA 50010-5424
(515) 232-2014
(515) 232-2014
Mailing address
1208 CLARK AVE, AMES, IA 50010-5424
(515) 232-2014
(515) 232-2014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013391
—
IA
Enumeration date
02/26/2007
Last updated
02/10/2016
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