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LEE WOLF NPI 1598988743


NPI Information

NPI: 1598988743
Provider Name: LEE WOLF
Classification: Respite Care - 385HR2055X
Entity Type: Organization

Specialization: Respite Care, Mental Illness, Child

Address:
4066 320TH ST
MAPLETON, IA
ZIP 51034
Phone: (712) 883-2893
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LEE WOLF is a respite care and mental illness and child respite care in Mapleton, IA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. LEE WOLF NPI is 1598988743. The provider is registered as an organization entity type.

The provider's business location address is:

4066 320TH ST
MAPLETON, IA
ZIP 51034-005
Phone: (712) 883-2893
Fax: (712) 883-2894

The provider's authorized official is Lee Wolf .
The authorized official title is Owner and has the following contact phone number (712) 883-2893.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385HR2055XRespite CareRespite Care, Mental Illness, ChildYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10479691MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.