Provider Demographics
NPI:1932534955
Name:MID-IOWA WORKSHOPS, INC
Entity Type:Organization
Organization Name:MID-IOWA WORKSHOPS, INC
Other - Org Name:MIW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-752-3697
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-0966
Mailing Address - Country:US
Mailing Address - Phone:641-752-3697
Mailing Address - Fax:641-752-1614
Practice Address - Street 1:909 S 14TH AVE
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-3610
Practice Address - Country:US
Practice Address - Phone:641-752-3697
Practice Address - Fax:641-752-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAX000210949251C00000X
IAX000211951251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services