# POST ACUTE CARE LEADERS- IOWA, LLC

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

## Provider details

- **NPI number:** 1447979901
- **Authorized official:** TYLER JUSTISS (CONTROLLER)
- **Authorized official phone:** (678) 593-3332

## Contact information

- **Practice address:** 2121 W 19TH ST, SIOUX CITY, IA 51103-2333
- **Practice address phone:** (678) 593-3332
- **Practice address fax:** (678) 868-1584
- **Mailing address:** 925 N POINT PKWY STE 425, ALPHARETTA, GA 30005-5200
- **Mailing address phone:** (678) 593-3332
- **Mailing address fax:** (678) 868-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022