# CARROLL COUNTY HOME CARE AIDE SERVICE

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

## Provider details

- **NPI number:** 1700910866
- **Authorized official:** DR. JOHN PETERS EVANS MD (CHAIRMAN CARROLL COUNTY BOARD OF HE)
- **Authorized official phone:** (712) 792-1500

## Contact information

- **Practice address:** 17436 MAHOGANY AVENUE, CARROLL, IA 51401-0966
- **Practice address phone:** (712) 792-9517
- **Practice address fax:** (712) 792-0254
- **Mailing address:** PO BOX 966, CARROLL, IA 51401-0966
- **Mailing address phone:** (712) 792-9517
- **Mailing address fax:** (712) 792-0254

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020