# CEDAR RAPIDS IA HOME CARE LLC

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

## Provider details

- **NPI number:** 1235643941
- **Authorized official:** MR. ANTHONY RAY BETTERS JR. (OWNER/ DIRECTOR)
- **Authorized official phone:** (319) 320-2069

## Contact information

- **Practice address:** 1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
- **Practice address phone:** (319) 320-2069
- **Mailing address:** 1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
- **Mailing address phone:** (319) 320-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | IA | Yes |
| 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