NPI | 1093232605 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA R JOHNSON CFO 712-754-5353 |
Organization Subpart ? | Yes |
Primary Taxonomy | 364SC1501X Clinical Nurse Specialist Community Health/Public Health |
Additional Taxonomies | 364SH0200X Clinical Nurse Specialist Home Health (Licence: IA 167177) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2024-07-17 |