Provider Demographics
NPI:1245309749
Name:VERA FRENCH SHERIDAN SPRINGS
Entity type:Organization
Organization Name:VERA FRENCH SHERIDAN SPRINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEENK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-345-6670
Mailing Address - Street 1:5006 SHERIDAN ST.
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-4167
Mailing Address - Country:US
Mailing Address - Phone:563-345-6670
Mailing Address - Fax:563-323-4223
Practice Address - Street 1:5006 SHERIDAN ST.
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-4167
Practice Address - Country:US
Practice Address - Phone:563-345-6670
Practice Address - Fax:563-323-4223
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERA FRENCH COMMUNITY MENTAL HEALTH C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IARMI-396323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility