| NPI | 1669689378 |
|---|---|
| Other Name | LCHC WAIVER |
| Entity Type | Organization |
| Authorized Contact | LORI JOHNSON Chief Operations Officer 641-774-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-12-16 |