Provider Demographics
NPI:1477626307
Name:AMERICAN HOME FINDING ASSOCIATION
Entity Type:Organization
Organization Name:AMERICAN HOME FINDING ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:X
Authorized Official - Last Name:LAZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-682-3449
Mailing Address - Street 1:217 E 5TH ST
Mailing Address - Street 2:PO BOX 656
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2627
Mailing Address - Country:US
Mailing Address - Phone:641-682-3449
Mailing Address - Fax:641-682-5049
Practice Address - Street 1:217 E 5TH ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2627
Practice Address - Country:US
Practice Address - Phone:641-682-3449
Practice Address - Fax:641-682-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1104430Medicaid