Organization
EASTERN IOWA VISITING NURSES AND HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA D FANTON RN (ADMINISTRATOR)
(319) 465-6299
Entity
Organization
Contact information
Practice address
221 E 1ST ST, MONTICELLO, IA 52310-1592
(319) 465-6299
(319) 465-6317
Mailing address
221 E 1ST ST, MONTICELLO, IA 52310-1592
(319) 465-6299
(319) 465-6317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
167262A
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672618
—
IA
01
—
67262
BC/BS PROVIDER #
IA
Enumeration date
08/11/2006
Last updated
08/22/2020
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