JOSAPHINE LONG

FORT DODGE, IA
NPI1679350995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: IA  22019)
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
JOSAPHINE LONG CADC
826 1ST AVE N
FORT DODGE, IA 50501-3906
Phone number: 515-573-3931
Mailing Address
JOSAPHINE LONG CADC
223 AVE F, FORT DODGE, IA, USA
FORT DODGE, IA 50501
Phone number: 515-576-9619
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