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Country Care Center, Corp
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Harlan, Iowa
NPI 1407070808

Country Care Center, Corp is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Harlan, IA. Country Care Center, Corp practices in Harlan, IA. The NPI Number for Country Care Center, Corp is 1407070808 and holds a License No. R390 (Iowa).

The current practice location address for Country Care Center, Corp is 725 Highway 59, Harlan, IA and can be reached out via phone at 712-744-3453 and via fax at 712-744-3458.

Location: 725 Highway 59, Harlan, IA, 51537-0351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407070808
Provider Name
Country Care Center, Corp
Credential
Provider Entity Type
Organization
Address
725 Highway 59, Harlan, IA, 51537-0351
Phone Number
712-744-3453
Fax Number
712-744-3458
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0735639 01 IA HCBS WAIVER
0894006 05 IA
0238410 01 IA SCL
0747410 01 IA DAY HABILITATION
institution
Provider Business Practice Location Address Details
Address
725 Highway 59
City
Harlan
State
Iowa
Zip
51537-6709
Phone Number
712-744-3453
Fax Number
712-744-3458
person
Provider Business Mailing Address Details
Address
725 Highway 59
City
Harlan
State
Iowa
Zip
51537-6709
Phone Number
712-744-3453
Fax Number
712-744-3458
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
R390 (Iowa)
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, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
R390 (Iowa)
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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