Organization
HANDICAP VILLAGE
Active
Other names
One Vision
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD KLUG (REGIONAL DIRECTOR)
(515) 206-2242
Entity
Organization
Contact information
Practice address
1140 LIMESTONE ST, MASON CITY, IA 50401
(641) 357-5277
(641) 357-6491
Mailing address
PO BOX 622, CLEAR LAKE, IA 50428-0622
(641) 357-5277
(641) 357-6491
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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