Healthcare Provider Details

I. General information

NPI: 1952452138
Provider Name (Legal Business Name): HEALTHY CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2517 CARVER RD
WINTERSET IA
50273-8318
US

IV. Provider business mailing address

2517 CARVER RD
WINTERSET IA
50273-8318
US

V. Phone/Fax

Practice location:
  • Phone: 515-462-2655
  • Fax:
Mailing address:
  • Phone: 515-462-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number0472878
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE J OWENS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 515-462-2655