Organization Name: | DALLAS COUNTY IOWA |
NPI Number: | 1083082606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLEY HORAK (ADMINISTRATOR) |
Mailing Address: | 25747 N Ave Suite C Adel |
State: | IA US |
Postal Code: | 500034420 |
Phone Number: | 5159933750 |
Fax Number: | 5159934949 |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |