Exceptional Persons, Inc | |
760 Ansborough Ave Waterloo IA 50701-5714 | |
(319) 232-6671 | |
(319) 232-0453 |
Full Name | Exceptional Persons, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 760 Ansborough Ave, Waterloo, Iowa |
Authorized Official Name and Position | Deb Jungling (BUSINESS AFFAIRS DIRECTOR) |
Authorized Official Contact | 3192326671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Exceptional Persons, Inc 760 Ansborough Ave Po Box 4090 Waterloo IA 50701-5714 Ph: (319) 232-6671 | Exceptional Persons, Inc 760 Ansborough Ave Waterloo IA 50701-5714 Ph: (319) 232-6671 |
NPI Number | 1144387960 |
---|---|
Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144387960 | NPI | - | NPPES |
2244632 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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