| Xist Llc | |
|
705 Main St Adel IA 50003-1523 | |
| (515) 993-2123 | |
| (515) 993-2276 |
| Full Name | Xist Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 705 Main St, Adel, Iowa |
| Authorized Official Name and Position | Joseph R. Claibourn (CEO) |
| Authorized Official Contact | 5159932123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xist Llc 707 Main Street Adel IA 50003-1523 Ph: (515) 993-2123 | Xist Llc 705 Main St Adel IA 50003-1523 Ph: (515) 993-2123 |
| NPI Number | 1316293624 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316293624 | NPI | - | NPPES |
| 0211394 | Medicaid | IA | |
| 0109338 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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