Provider Demographics
NPI:1285825174
Name:HAMILTON COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:HAMILTON COUNTY SOCIAL SERVICES
Other - Org Name:FRIENDS FOREVER SOCIAL EDUCATION CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CENTER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENRIC
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WEINSCHENK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-832-9550
Mailing Address - Street 1:500 FAIRMEADOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-3189
Mailing Address - Country:US
Mailing Address - Phone:515-832-9550
Mailing Address - Fax:515-832-9554
Practice Address - Street 1:500 FAIRMEADOW DRIVE
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-3189
Practice Address - Country:US
Practice Address - Phone:515-832-9550
Practice Address - Fax:515-832-9554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMILTON COUNTY SOCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health