Dac, INC
Community Based Residential Treatment Facility, Mental Illness in Bellevue, IA. Organization (NPI-2).
NPI number1043554629
StatusActive
Last updated in NPPESNov 20, 2012
Details
- NPI
- 1043554629
- Entity type
- Organization (NPI-2)
- Legal business name
- Dac, INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2012
- Last updated
- Nov 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 480114 | IA | Yes |
Other names
- Andrew Jackson Care (Doing Business As)
Practice location
18720 250th AveBellevue, IA 52031-8202
Phone 563-672-3800 · Fax 563-672-3802
Mailing address
1710 E Maple StMaquoketa, IA 52060-9214
Phone 563-652-5252 · Fax 563-652-4872
Authorized official
Todd Seifert
Ceo
5636525252
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