# TYNIQUES ROSE GARDEN

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

## Provider details

- **NPI number:** 1609436492
- **Authorized official:** DOMINIQUE DEVERS (OWNER)
- **Authorized official phone:** (402) 707-0615

## Contact information

- **Practice address:** 14406 HOLCOMB AVE, URBANDALE, IA 50323-2771
- **Practice address phone:** (402) 707-0615
- **Mailing address:** 14406 HOLCOMB AVE, URBANDALE, IA 50323-2771
- **Mailing address phone:** (402) 707-0615

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 10/08/2019