Families First Of Western Iowa | |
2999 Wichita Ave Persia IA 51563-4070 | |
(712) 488-2005 | |
(712) 488-2005 |
Full Name | Families First Of Western Iowa |
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Speciality | Counselor |
Location | 2999 Wichita Ave, Persia, Iowa |
Authorized Official Name and Position | Linda K Dollen (SOLE PROPRIETOR) |
Authorized Official Contact | 7124882005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Families First Of Western Iowa 2999 Wichita Ave Persia IA 51563-4070 Ph: (712) 488-2005 | Families First Of Western Iowa 2999 Wichita Ave Persia IA 51563-4070 Ph: (712) 488-2005 |
NPI Number | 1902988082 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902988082 | NPI | - | NPPES |
1125286 | Medicaid | IA | |
0485540 | Other | IA | CMH WAIVER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Iowa) | Primary |