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Organization
CEDAR RAPIDS IA HOME CARE LLC
Active
Organization
CEDAR RAPIDS IA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RAY BETTERS JR. (OWNER/ DIRECTOR)
(319) 320-2069
Entity
Organization
Contact information
Practice address
1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
(319) 320-2069
Mailing address
1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
(319) 320-2069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IA
311500000X
Alzheimer Center (Dementia Center)
—
IA
385H00000X
Respite Care
—
IA
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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