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General NPI Number Information
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NPI Number | 1326942889
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Entity Type | Organization
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Legal Business Name | INTEGRATED CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 15182 WILDWOOD DR
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City | CLIVE
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State | IA
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Zip | 50325-7856
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Country | US
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Telephone | 515-481-8708
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 CORPORATE DR STE 4712
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City | JOHNSTON
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State | IA
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Zip | 50131-1659
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Country | US
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Telephone | 515-481-8708
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NAOMI SAWE
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Credential |
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Telephone | 515-481-8708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | NULL
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