Healthcare Provider Details

I. General information

NPI: 1366529109
Provider Name (Legal Business Name): DECATUR COUNTY COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NE IDAHO ST
LEON IA
50144-1646
US

IV. Provider business mailing address

201 NE IDAHO ST
LEON IA
50144-1646
US

V. Phone/Fax

Practice location:
  • Phone: 641-446-7178
  • Fax: 641-446-8208
Mailing address:
  • Phone: 641-446-7178
  • Fax: 641-446-8208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LILA M OILER
Title or Position: DIRECTOR
Credential: LMSW
Phone: 641-446-7178