# BERSOL OPEN HOME CARE LLC

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

## Provider details

- **NPI number:** 1437785730
- **Authorized official:** BERTIN NDUWAYEZU (OWNER)
- **Authorized official phone:** (319) 693-3621

## Contact information

- **Practice address:** 416 DRAKE ST SW, CEDAR RAPIDS, IA 52404-8216
- **Practice address phone:** (319) 693-3621
- **Mailing address:** 416 DRAKE ST SW, CEDAR RAPIDS, IA 52404-8216
- **Mailing address phone:** (319) 693-3621

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/20/2020