| William Eadie Residential Services, Inc. | |
|
500 Opal St Afton IA 50830-1078 | |
| (641) 347-5611 | |
| (641) 347-5038 |
| Full Name | William Eadie Residential Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Opal St, Afton, Iowa |
| Authorized Official Name and Position | Jean M Rommes (PRESIDENT) |
| Authorized Official Contact | 64178288495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Eadie Residential Services, Inc. 500 Opal St Afton IA 50830-1078 Ph: (641) 347-5611 | William Eadie Residential Services, Inc. 500 Opal St Afton IA 50830-1078 Ph: (641) 347-5611 |
| NPI Number | 1255477329 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255477329 | NPI | - | NPPES |
| 0895482 | Medicaid | IA | |
| 0233528 | Medicaid | IA | |
| 0463406 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R-880682 & R-880683 (Iowa) | Primary |
New Horizons-family Enhancement Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 N Douglas St, Afton, IA 50830 Phone: 641-347-8010 |