# JAVIC AVIATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gero Psych Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568009538
- **Authorized official:** MR. SAMUEL JAMES BOEKE MBA (MANAGING MEMBER)
- **Authorized official phone:** (515) 297-4708

## Contact information

- **Practice address:** 212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
- **Practice address phone:** (515) 733-4325
- **Mailing address:** 1106 KAMEN DR, WEBSTER CITY, IA 50595-3501
- **Mailing address phone:** (515) 297-4708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2019
- **Last updated:** 12/09/2019
