OrganizationActive
Woodlands Creek Active Retirement Community
NPI 1992032965 · Lodging Provider · Clive, IA
Provider details
- NPI number
- 1992032965
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Derrick Johnson, Executive Director(515) 223-9755
- License
- 177F00000X (IA)
Specialties & taxonomies
Other Service Providers
Practice location
12605 Woodlands Pkwy
Clive, IA 50325-8701
Phone: (515) 223-9755
Fax: (515) 223-9875
Approximate (ZIP-level) locationGet directions
Mailing address
12605 Woodlands Pkwy
Clive, IA 50325-8701
Registry dates
- Enumerated
- 2009-11-11
- Last updated
- 2009-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.