OrganizationActive
Tanager Place
NPI 1508992504 · Voluntary or Charitable Agency · Cedar Rapids, IA
Provider details
- NPI number
- 1508992504
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeff Humiston, C.f.o.(319) 365-9165
Specialties & taxonomies
Agencies
Practice location
2309 C St Sw
Cedar Rapids, IA 52404-3707
Phone: (319) 365-9164
Fax: (319) 365-6411
Approximate (ZIP-level) locationGet directions
Mailing address
2309 C St Sw
Cedar Rapids, IA 52404-3707
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.