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Story County Community Life Program
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ames, Iowa
NPI 1689986887

Story County Community Life Program is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ames, IA. Story County Community Life Program practices in Ames, IA. The NPI Number for Story County Community Life Program is 1689986887 and holds a License No. (Iowa).

The current practice location address for Story County Community Life Program is 104 S Hazel Ave, Ames, IA and can be reached out via phone at 515-956-2600 and via fax at 515-956-2609. You can also correspond with Story County Community Life Program through the mailing address at 104 S HAZEL AVE, AMES, IA - 50010-5952 (mailing address contact number: 515-956-2600).

Location: 104 S Hazel Ave, Ames, IA, 50010-5952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689986887
Provider Name
Story County Community Life Program
Credential
Provider Entity Type
Organization
Address
104 S Hazel Ave, Ames, IA, 50010-5952
Phone Number
515-956-2600
Fax Number
515-956-2609
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366516114 05 IA
institution
Provider Business Practice Location Address Details
Address
104 S Hazel Ave
City
Ames
State
Iowa
Zip
50010-5952
Phone Number
515-956-2600
Fax Number
515-956-2609
person
Provider Business Mailing Address Details
Address
104 S Hazel Ave
City
Ames
State
Iowa
Zip
50010-5952
Phone Number
515-956-2600
Fax Number
515-956-2609
person
Provider's Taxonomy Details 1
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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