Organization
FIRST STEPS TO SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA YVETTE CALDWELL (DIRECTOR OF OPERATIONS)
(708) 310-0600
Entity
Organization
Contact information
Practice address
501 SYCAMORE ST, SUITE 507, WATERLOO, IA 50703-4644
(319) 233-2500
(319) 233-2505
Mailing address
909 WILLOW RD, MATTESON, IL 60443-1981
(708) 310-0600
(708) 747-6607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000205333
—
IA
Enumeration date
04/01/2010
Last updated
04/01/2010
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