Healthcare Provider Details
I. General information
NPI: 1831114255
Provider Name (Legal Business Name): CONCERNED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2006
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1802 INDUSTRIAL PARKWAY
HARLAN IA
51537
US
IV. Provider business mailing address
1802 INDUSTRIAL PARKWAY P.O. BOX 47
HARLAN IA
51537
US
V. Phone/Fax
- Phone: 712-755-5834
- Fax: 712-755-7775
- Phone: 712-755-5834
- Fax: 712-755-7775
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
FREEMAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 712-755-5834