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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.

physician-icon Basic Information

Practice Location 401 S Washington St, Corydon, IA 50060-1745, US
Practice Location Phone641-872-1524
Practice Location Fax641-872-2843
Legal Business NameNEW VENTURE GROUP HOME
NPI ?1164631214
Entity TypeOrganization
Enumeration Date ? May 22, 2007
Last Update Date ? Aug 1, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of New Venture Group Home

SpecialtySpecializationLicenseLicense State
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities RMR-413Iowa

legacy-id-icon Legacy Provider IDs of New Venture Group Home

Provider IdIssuer StateIssuer TypeIssuer
2144725HIowaMedicaid
1484676DIowaMedicaid
0375474DIowaMedicaid
0779733EIowaMedicaid
0903780CIowaMedicaid

official-icon 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/PositionTEMPORARY ADMINISTRATOR
Authorized Official Phone Number641-872-1524