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Organization
MEDICAL CARE OPTIONS
Active
Organization
MEDICAL CARE OPTIONS
Active
Other names
Innovative Home Health and Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN S HOMER PT (ADMINSTRATOR)
(605) 977-0895
Entity
Organization
Contact information
Practice address
100 S SPRING AVE, SUITE 170, SIOUX FALLS, SD 57104-3657
(605) 977-0895
(605) 977-0897
Mailing address
100 S SPRING AVE, SUITE 170, SIOUX FALLS, SD 57104-3657
(605) 977-0895
(605) 977-0897
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5195062
ADLS PROGRAM
SD
05
—
9535142
—
SD
Enumeration date
12/26/2006
Last updated
08/22/2020
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