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Organization
ST DECLAN HOME CARE
Active
Organization
ST DECLAN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SHUDZEKA (ADMINISTRATOR)
(515) 661-0262
Entity
Organization
Contact information
Practice address
6070 WOODBRIDGE CRST, MARION, IA 52302-9551
(515) 661-0262
Mailing address
6070 WOODBRIDGE CRST, MARION, IA 52302-9551
(319) 435-7020
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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