Organization
SPECTRA HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE MORROW (ADMINISTRATOR)
(712) 284-1739
Entity
Organization
Contact information
Practice address
5726 120TH AVE, STORM LAKE, IA 50588-7568
(712) 732-4118
(712) 732-4119
Mailing address
202 W 7TH ST, ALTA, IA 51002-1540
(712) 284-1739
(712) 284-1739
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
R0175
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230763
—
IA
05
—
0462580
—
IA
05
—
0893875
—
IA
Enumeration date
10/18/2006
Last updated
08/22/2020
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