| Family Resources Inc | |
|
1414 W Lombard St Davenport IA 52804-2148 | |
| (563) 326-6431 | |
| (563) 326-2013 |
| Full Name | Family Resources Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1414 W Lombard St, Davenport, Iowa |
| Authorized Official Name and Position | Deena Dhuse (MANAGER MENTAL HEALTH) |
| Authorized Official Contact | 5634682145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Resources Inc 1414 W Lombard St Davenport IA 52804-2148 Ph: (563) 326-6431 | Family Resources Inc 1414 W Lombard St Davenport IA 52804-2148 Ph: (563) 326-6431 |
| NPI Number | 1275598054 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 5698841294 |
|---|---|
| Medicare Enrollment ID | O20080905000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275598054 | NPI | - | NPPES |
| 1102749 | Medicaid | IA | |
| 0465559 | Medicaid | IA | |
| 0102749 | Medicaid | IA |
| Provider Name | Sieg Hoppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104937424 PECOS PAC ID: 9436239506 Enrollment ID: I20071231000549 |
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