Self-Reliance

LBN: Self-Reliance
Self-Reliance is an health care organization with primary practice located at 825 N 6Th St Ste 4 , Burlington IA 52601-4920. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Self-Reliance can be contacted via phone (319) 752-4978, or through Miller, Amy Jean via phone (319) 752-4978.

Contact Information

Primary practice address
825 N 6Th St Ste 4 Burlington IA 52601-4920
Phone: (319) 752-4978
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Amy Jean
Phone: (319) 752-4978

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X X000502991 Iowa

Profile Details

NPI number 1831571306
LBN Legal business name Self-Reliance
DBA Doing business as
Authorized official Miller, Amy Jean
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2015
Last updated Jun 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831571306 NPPES
Iowa MEDICAID X000502991

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