Organization
STILL WATER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA JOHNSON MARTOR (OWNER 1)
(515) 441-0708
Entity
Organization
Contact information
Practice address
1414 E 9TH ST, DES MOINES, IA 50316-2261
(515) 441-0708
Mailing address
1414 E 9TH ST, DES MOINES, IA 50316-2261
(515) 441-0708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R 148120-4
MN
253J00000X
Foster Care Agency
R 148120-4
MN
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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