Cap Supported Community Living | |
1801 Hickman Rd Des Moines IA 50314-1548 | |
(515) 282-6810 | |
Not Available |
Full Name | Cap Supported Community Living |
---|---|
Speciality | Community/behavioral Health |
Location | 1801 Hickman Rd, Des Moines, Iowa |
Authorized Official Name and Position | Vincent J Mandracchia (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 5152822562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cap Supported Community Living 1801 Hickman Rd Des Moines IA 50314-1548 Ph: () - | Cap Supported Community Living 1801 Hickman Rd Des Moines IA 50314-1548 Ph: (515) 282-6810 |
NPI Number | 1619184686 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619184686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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