Provider Demographics
NPI:1457480162
Name:ABBE CENTER FOR COMMUNITY CARE
Entity Type:Organization
Organization Name:ABBE CENTER FOR COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1319-398-3534
Mailing Address - Street 1:800 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-2713
Mailing Address - Country:US
Mailing Address - Phone:319-398-3617
Mailing Address - Fax:319-398-3638
Practice Address - Street 1:1860 COUNTY HOME RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-9753
Practice Address - Country:US
Practice Address - Phone:319-398-3534
Practice Address - Fax:319-398-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities