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Plymouth Life, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Le Mars, Iowa
NPI 1023166576

Plymouth Life, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Le Mars, IA. Plymouth Life, Inc. practices in Le Mars, IA. The NPI Number for Plymouth Life, Inc. is 1023166576 and holds a License No. (Iowa).

The current practice location address for Plymouth Life, Inc. is 214 Plymouth St Se, Le Mars, IA and can be reached out via phone at 712-546-6500 and via fax at 712-546-6589.

Location: 214 Plymouth St Se, Le Mars, IA, 51031-3631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023166576
Provider Name
Plymouth Life, Inc.
Credential
Provider Entity Type
Organization
Address
214 Plymouth St Se, Le Mars, IA, 51031-3631
Phone Number
712-546-6500
Fax Number
712-546-6589
Provider Enumeration Date
01/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0764415 05 IA
0108423 05 IA
0245100 05 IA
0232041 05 IA
0741983 05 IA
0242990 05 IA
0251561 05 IA
0769471 05 IA
institution
Provider Business Practice Location Address Details
Address
214 Plymouth St Se
City
Le Mars
State
Iowa
Zip
51031-3631
Phone Number
712-546-6500
Fax Number
712-546-6589
person
Provider Business Mailing Address Details
Address
214 Plymouth St Se
City
Le Mars
State
Iowa
Zip
51031-3631
Phone Number
712-546-6500
Fax Number
712-546-6589
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
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 3
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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