Provider Demographics
NPI:1104957380
Name:CHEROKEE COUNTY WORK SERVICES INC
Entity type:Organization
Organization Name:CHEROKEE COUNTY WORK SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-225-4531
Mailing Address - Street 1:322 LAKE STREET
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-2108
Mailing Address - Country:US
Mailing Address - Phone:712-225-4531
Mailing Address - Fax:712-225-4534
Practice Address - Street 1:322 LAKE STREET
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-2108
Practice Address - Country:US
Practice Address - Phone:712-225-4531
Practice Address - Fax:712-225-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0176743Medicaid