Provider Demographics
NPI:1952039141
Name:IOWA HOUSE INC
Entity Type:Organization
Organization Name:IOWA HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:515-724-9896
Mailing Address - Street 1:102 N WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:IA
Mailing Address - Zip Code:50129
Mailing Address - Country:US
Mailing Address - Phone:515-386-2433
Mailing Address - Fax:515-386-2124
Practice Address - Street 1:102 N WILSON AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:IA
Practice Address - Zip Code:50129-5012
Practice Address - Country:US
Practice Address - Phone:515-386-2433
Practice Address - Fax:515-386-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder