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Indianola Residential, Llc
Mental Illness Community Based Residential Treatment Facility in Indianola, Iowa
NPI 1255412995

Indianola Residential, Llc is a Mental Illness Community Based Residential Treatment Facility based in Pleasant Hill, IA. Indianola Residential, Llc practices in Indianola, IA. The NPI Number for Indianola Residential, Llc is 1255412995 and holds a License No. 910290 (Iowa).

The current practice location address for Indianola Residential, Llc is 401 W Salem Ave, Indianola, IA and can be reached out via phone at 515-961-2556.

Location: 401 W Salem Ave, Indianola, IA, 50327-0908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255412995
Provider Name
Indianola Residential, Llc
Credential
Provider Entity Type
Organization
Address
401 W Salem Ave, Indianola, IA, 50327-0908
Phone Number
515-961-2556
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0896910 05 IA
institution
Provider Business Practice Location Address Details
Address
401 W Salem Ave
City
Indianola
State
Iowa
Zip
50125-2439
Phone Number
515-961-2556
Fax Number
person
Provider Business Mailing Address Details
Address
401 W Salem Ave
City
Indianola
State
Iowa
Zip
50125-2439
Phone Number
515-961-2556
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
910290 (Iowa)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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