Organization
BACK TO LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERLY WIESE OT (OWNER)
(402) 201-7852
Entity
Organization
Contact information
Practice address
305 E 1ST ST, MALVERN, IA 51551-8008
(402) 201-7852
Mailing address
PO BOX 178, MALVERN, IA 51551-0178
(402) 201-7852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us