Individual
MELISSA JO WHITEHOUSES-HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 W 3RD ST, DAVENPORT, IA 52802-1607
(563) 293-0505
Mailing address
1946 W 3RD ST, DAVENPORT, IA 52802-1607
(563) 293-0505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
347C00000X
Private Vehicle
510LL3327
IA
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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