Organization
HOPE HAVEN AREA DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON CHRISTENSEN (DIRECTOR OF PROGRAMS)
(319) 237-1308
Entity
Organization
Contact information
Practice address
828 N 7TH ST, BURLINGTON, IA 52601
(319) 754-4689
(319) 754-0045
Mailing address
828 N 7TH ST, BURLINGTON, IA 52601-4921
(319) 754-4689
(319) 754-0045
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763912
—
IA
Enumeration date
06/01/2007
Last updated
04/16/2019
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