Provider Demographics
NPI:1982221834
Name:THE VILLAGE COMMUNITY
Entity Type:Organization
Organization Name:THE VILLAGE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWNSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-530-0417
Mailing Address - Street 1:PO BOX 5284
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-0284
Mailing Address - Country:US
Mailing Address - Phone:319-643-7446
Mailing Address - Fax:
Practice Address - Street 1:5305 HERBERT HOOVER HWY NE
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:IA
Practice Address - Zip Code:52358-9543
Practice Address - Country:US
Practice Address - Phone:319-643-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services