Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Cedar Rapids Crest Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L SWIGERT (BUDGET & FINANCE COORDINATOR)
(515) 331-1200
Entity
Organization
Contact information
Practice address
120 3RD AVE SW, SUITE B, CEDAR RAPIDS, IA 52404-5733
(319) 364-6774
(319) 364-3925
Mailing address
120 3RD AVE SW, SUITE B, CEDAR RAPIDS, IA 52404-5733
(319) 364-6774
(319) 364-3925
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121798
—
IA
01
—
0892240
SSA VENDOR #
IA
Enumeration date
01/12/2007
Last updated
08/22/2020
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