NPI | 1720204191 |
---|---|
Former Legal Business Name | THE HOMESTEAD |
Entity Type | Organization |
Authorized Contact | LUANN JAHNER Operations Dir 515-957-3342 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 106S00000X Behavior Technician |
225X00000X Occupational Therapist | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2025-01-23 |