Family Support & Outreach Services

LBN: Department Of Human Services Glenwood Resource Center
Family Support & Outreach Services is an health care organization with primary practice located at 711 S Vine St , Glenwood IA 51534-1927. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Department Of Human Services Glenwood Resource Center can be contacted via phone (712) 527-4811, or through Cloyed, Randi R via phone (712) 525-1395.

Contact Information

Primary practice address
711 S Vine St Glenwood IA 51534-1927
Phone: (712) 527-4811
Fax: (712) 525-1405
Website:
Map and Directions
Authorized official contact:
Name: Cloyed, Randi R
Phone: (712) 525-1395

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1972650158
LBN Legal business name Department Of Human Services Glenwood Resource Center
DBA Doing business as Family Support & Outreach Services
Authorized official Cloyed, Randi R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972650158 NPPES
Iowa Other 0136952 WAIVER

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