Provider Demographics
NPI:1952320087
Name:VOCATIONAL DEVELOPMENT CENTER INC
Entity Type:Organization
Organization Name:VOCATIONAL DEVELOPMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HODAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-328-2638
Mailing Address - Street 1:612 S MAIN
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503
Mailing Address - Country:US
Mailing Address - Phone:712-328-2638
Mailing Address - Fax:712-328-8161
Practice Address - Street 1:612 S MAIN
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503
Practice Address - Country:US
Practice Address - Phone:712-328-2638
Practice Address - Fax:712-328-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0448423Medicaid
NE98658737Medicaid
IA0259861Medicaid
IA0232033Medicaid