# STILL WATER HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083016174
- **Authorized official:** RITA JOHNSON MARTOR (OWNER 1)
- **Authorized official phone:** (515) 441-0708

## Contact information

- **Practice address:** 1414 E 9TH ST, DES MOINES, IA 50316-2261
- **Practice address phone:** (515) 441-0708
- **Mailing address:** 1414 E 9TH ST, DES MOINES, IA 50316-2261
- **Mailing address phone:** (515) 441-0708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R 148120-4 | MN | Yes |
| 253J00000X | Foster Care Agency | R 148120-4 | MN | — |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 09/19/2014