| NPI | 1659998326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAAL APPLEWHITE Operations Manager 515-718-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251E00000X Home Health |
| 305S00000X Point of Service | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-09-29 |