Organization
MFL MARMAC CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY L FUNK (BUSINESS MANAGER)
(563) 539-4795
Entity
Organization
Contact information
Practice address
700 SOUTH PAGE STREET, MONONA, IA 52159-0544
(563) 539-4795
(563) 539-4913
Mailing address
700 SOUTH PAGE STREET, MONONA, IA 52159-0544
(563) 539-4795
(563) 539-4913
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484022
—
IA
Enumeration date
01/09/2007
Last updated
08/22/2020
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