Organization
ELSA HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILSON MUSORO NGWEFANG RN (EXECUTIVE DIRECTOR)
(302) 345-3983
Entity
Organization
Contact information
Practice address
1013 25TH ST SE, ALTOONA, IA 50009-7830
(302) 345-3983
Mailing address
1013 25TH ST SE, ALTOONA, IA 50009-7830
(302) 345-3983
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
02/27/2024
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