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Organization

AMERISERVE INTERNATIONAL II, INC.

Active
Parent organization
AMERISERVE INTERNATIONAL, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERISERVE INTERNATIONAL, INC
Authorized official
STEVEN B PEARSON CPA (TREASURER)
(712) 322-0272
Entity
Organization

Contact information

Practice address
35 MAIN PL STE 300, COUNCIL BLUFFS, IA 51503-0702
(712) 322-0272
(712) 322-0272
Mailing address
35 MAIN PL STE 300, COUNCIL BLUFFS, IA 51503-0702
(712) 322-0272

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
203641
IA
Enumeration date
08/28/2019
Last updated
08/28/2019
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