Organization
C R IV SERVICE INC
Active
Other names
CarePro Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M. JENSEN (CEO)
(319) 363-4554
Entity
Organization
Contact information
Practice address
402 10TH STREET SE, SUITE 700, CEDAR RAPIDS, IA 52403
(319) 363-1284
(319) 363-4453
Mailing address
402 10TH STREET SE, SUITE 700, CEDAR RAPIDS, IA 52403
(319) 363-1284
(319) 363-4453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054015238
IL
332B00000X
Durable Medical Equipment & Medical Supplies
492
IA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
054015238
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
492
IA
3336H0001X
Home Infusion Therapy Pharmacy
054015238
IL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081125
—
IA
05
—
33270400
—
WI
Enumeration date
10/02/2006
Last updated
07/31/2015
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