Provider Demographics
NPI:1437359726
Name:SYSTEMS UNLIMITED, INC.
Entity type:Organization
Organization Name:SYSTEMS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVR DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-338-9212
Mailing Address - Street 1:2533 SCOTT BLVD SE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-8195
Mailing Address - Country:US
Mailing Address - Phone:319-338-9212
Mailing Address - Fax:319-337-9073
Practice Address - Street 1:2533 SCOTT BLVD SE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-8195
Practice Address - Country:US
Practice Address - Phone:319-338-9212
Practice Address - Fax:319-337-9073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0760777Medicaid