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NPI 1679779490 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Keokuk, IA
Provider details
- NPI number
- 1679779490
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Cevin Coffield, Administrator
- License
- 56-0091 (IA)
Mailing address
317 High St
Keokuk, IA 52632-5939
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2013-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.