Organization
IOWA JEWISH SENIOR LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE E WIESE (ACCOUNTING MANAGER)
(515) 255-5433
Entity
Organization
Contact information
Practice address
900 POLK BLVD, DES MOINES, IA 50312-2225
(515) 255-5433
(515) 277-8898
Mailing address
900 POLK BLVD, DES MOINES, IA 50312-2225
(515) 255-5433
(515) 277-8898
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IA
Other
Enumeration date
12/11/2006
Last updated
10/15/2007
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