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Organization
STEVEN A. MOORE
Active
Organization
STEVEN A. MOORE
Active
Other names
dba lakes oxygen and respiratory
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MOORE (OWNER)
(712) 336-0999
Entity
Organization
Contact information
Practice address
115 GRAND AVE, SPENCER, IA 51301-4224
(712) 262-7838
(712) 262-0055
Mailing address
115 GRAND AVE, SPENCER, IA 51301-4224
(712) 262-7838
(712) 262-0055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/08/2006
Last updated
11/01/2010
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