| Delaware County Community Life | |
|
601 Grant Street Manchester IA 52057-2005 | |
| (563) 927-1077 | |
| Not Available |
| Full Name | Delaware County Community Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Grant Street, Manchester, Iowa |
| Authorized Official Name and Position | Kim Gehling (COORDINATOR) |
| Authorized Official Contact | 5639271077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware County Community Life 601 Grant Street Manchester IA 52057-2005 Ph: (563) 927-1077 | Delaware County Community Life 601 Grant Street Manchester IA 52057-2005 Ph: (563) 927-1077 |
| NPI Number | 1437209749 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437209749 | NPI | - | NPPES |
| 0138446 | Medicaid | IA | |
| 0444125 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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