Organization
ORCHARD PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE EBEL (HR GENERALIST)
(515) 246-3508
Entity
Organization
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
(515) 244-1922
Mailing address
2116 GRAND AVE, DES MOINES, IA 50312-5304
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
236
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299297
—
IA
Enumeration date
07/16/2010
Last updated
07/16/2010
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