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Chelsae Wagner
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wyoming, Iowa
NPI 1003566985

Chelsae Wagner is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wyoming, IA. Chelsae Wagner practices in Wyoming, IA. The NPI Number for Chelsae Wagner is 1003566985 and holds a License No. (Iowa).

The current practice location address for Chelsae Wagner is 8005 County Road E45, Wyoming, IA and can be reached out via phone at 319-929-8702.

Location: 8005 County Road E45, Wyoming, IA, 52362-7514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003566985
Provider Name
Chelsae Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
8005 County Road E45, Wyoming, IA, 52362-7514
Phone Number
319-929-8702
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480CC0877 01 IA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
8005 County Road E45
City
Wyoming
State
Iowa
Zip
52362-7514
Phone Number
319-929-8702
Fax Number
person
Provider Business Mailing Address Details
Address
8005 County Road E45
City
Wyoming
State
Iowa
Zip
52362-7514
Phone Number
319-929-8702
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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