NPI Lookup
NPPES Search
Providers by State
Blog
Home
1790073625
ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES
GRISWOLD, IA
NPI
1790073625
Copy
Entity Type
Organization
Authorized Contact
DERIK L SHIELDS
Owner
402-917-5163
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2011-07-12
Last Update Date
2011-07-12
Business Address
ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES
301 SCOTT ST
GRISWOLD, IA 51535-2044
Phone number: 402-917-5163
Copy
Mailing Address
ACTIVELY SUPPORTING INDIVIDUALS WITH CHALLENGES
301 SCOTT ST
GRISWOLD, IA 51535-2044
Phone number: 402-917-5163
Copy