| Cap Supported Community Living | |
|
1801 Hickman Rd Des Moines IA 50314-1548 | |
| (515) 282-6810 | |
| Not Available |
| Full Name | Cap Supported Community Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1801 Hickman Rd, Des Moines, Iowa |
| Authorized Official Name and Position | Vincent J Mandracchia (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5152822562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cap Supported Community Living 1801 Hickman Rd Des Moines IA 50314-1548 Ph: () - | Cap Supported Community Living 1801 Hickman Rd Des Moines IA 50314-1548 Ph: (515) 282-6810 |
| NPI Number | 1619184686 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619184686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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