# KISMET LGN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEL-Home health Logan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619959095
- **Authorized official:** MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 314 S ELM AVE, LOGAN, IA 51546-1442
- **Practice address phone:** (712) 644-3529
- **Mailing address:** 314 S ELM STREET, LOGAN, IA 51546-1442
- **Mailing address phone:** (712) 644-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2005
- **Last updated:** 01/08/2019