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Organization
ALTA MODA MEDICAL SERVICES LC
Active
Organization
ALTA MODA MEDICAL SERVICES LC
Active
Other names
Alta Moda Home Healthcare LC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIAZIZ N HAJIABDIRAHMAN (MANAGER)
(319) 310-9128
Entity
Organization
Contact information
Practice address
708 J AVE NE STE 200, CEDAR RAPIDS, IA 52402-4520
(319) 365-1440
(319) 365-1429
Mailing address
224 6TH AVE SW, CEDAR RAPIDS, IA 52404-2128
(319) 310-9128
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/20/2013
Last updated
04/08/2014
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