New Venture Group Home
New Venture Group Home is a health care provider in Corydon, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 401 S Washington St, Corydon, IA 50060-1745, US |
|Practice Location Phone||641-872-1524|
|Practice Location Fax||641-872-2843|
|Legal Business Name||NEW VENTURE GROUP HOME|
|Enumeration Date ? ||May 22, 2007|
|Last Update Date ? ||Aug 1, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of New Venture Group Home
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||RMR-413||Iowa|
Legacy Provider IDs of New Venture Group Home
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of New Venture Group Home
An authorized official is an appointed official with the legal authority to make changes and/or updates to the New Venture Group Home's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Mendy Middlebrook (BA)|
|Authorized Official Title/Position||TEMPORARY ADMINISTRATOR|
|Authorized Official Phone Number||641-872-1524|