| Shelter House | |
|
429 Southgate Ave Iowa City IA 52240 | |
| (319) 338-5416 | |
| (319) 358-7132 |
| Full Name | Shelter House |
|---|---|
| Speciality | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child |
| Location | 429 Southgate Ave, Iowa City, Iowa |
| Authorized Official Name and Position | Erin Sullivan (MENTAL HEALTH RECOVERY MANAGER) |
| Authorized Official Contact | 3193385416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelter House Po Box 3146 Iowa City IA 52244-3146 Ph: (319) 338-5416 | Shelter House 429 Southgate Ave Iowa City IA 52240 Ph: (319) 338-5416 |
| NPI Number | 1629316062 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629316062 | NPI | - | NPPES |
| X000110127 | Medicaid | IA | |
| X000158000 | Medicaid | IA |
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