| NPI | 1790488567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETERSON WAMBUU Member 515-344-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 251E00000X Home Health |
| 342000000X | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-04-05 |