| NPI | 1124162532 |
|---|---|
| Doing Business As | CHILDSERVE HOMES SCL WAIVER |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILDRICK Director Of Accounting 515-727-1468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2010-06-02 |