Organization
MAINSTREAM LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON D ZELLWEGER (V.P. OF OPERATIONS)
(515) 232-8405
Entity
Organization
Contact information
Practice address
2012 E 13TH ST, BOX 1608, AMES, IA 50010-5601
(515) 232-8405
(515) 232-8448
Mailing address
2012 E 13TH ST, BOX 1608, AMES, IA 50010-5601
(515) 232-8405
(515) 232-8448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095323
—
IA
05
—
0226878
—
IA
05
—
0896613
—
IA
05
—
1226878
—
IA
Enumeration date
10/18/2006
Last updated
09/25/2012
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