Provider Demographics
NPI:1194999094
Name:IOWA SCHOOL FOR THE DEAF
Entity type:Organization
Organization Name:IOWA SCHOOL FOR THE DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-366-3252
Mailing Address - Street 1:3501 HARRY LANGDON BLVD
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-7837
Mailing Address - Country:US
Mailing Address - Phone:712-366-3252
Mailing Address - Fax:712-366-3225
Practice Address - Street 1:3501 HARRY LANGDON BLVD
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-7837
Practice Address - Country:US
Practice Address - Phone:712-366-3252
Practice Address - Fax:712-366-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities