Provider Demographics
NPI:1407462625
Name:CARING HEARTS OF WEST CENTRAL IOWA, LLC
Entity Type:Organization
Organization Name:CARING HEARTS OF WEST CENTRAL IOWA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-792-3034
Mailing Address - Street 1:PO BOX 584
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-0584
Mailing Address - Country:US
Mailing Address - Phone:712-792-3034
Mailing Address - Fax:
Practice Address - Street 1:702 SAN SALVADOR AVE
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-1838
Practice Address - Country:US
Practice Address - Phone:712-792-3034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health