Premier Payee

NPI 1255694295 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1255694295
Enumeration Date 06/22/2012
Last Updated 06/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHANNON DEANN SHANNON
Position VICE PRESIDENT
Phone (641) 947-4061
Fax
Practice Location
279 PERRY ST
LACONA IA, 50139-8535, US
Phone (641) 947-4061
Fax
Business Location
279 PERRY ST
LACONA IA, 50139-8535, US
Phone (641) 947-4061
Fax
Toxanomy
Taxonomy Code 251C00000X
License State
License Number
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According to our database, Premier Payee NPI is 1255694295, taxonomy code is 251C00000X Premier Payee physically located at 279 Perry St, Lacona IA, 50139-8535. NPI Number 1033115704 has the healthcare provider type.

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1255694295 NPI number is provided on an as is basis without warranty of any kind. 1255694295 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Payee are for informational purposes only.