Organization
NORTH CENTRAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WOOD (BUSINESS MANAGER)
(515) 573-8147
Entity
Organization
Contact information
Practice address
328 S 8TH ST LOWR LEVEL, FORT DODGE, IA 50501-4660
(515) 573-8147
(515) 955-8729
Mailing address
328 S 8TH ST LOWR LEVEL, FORT DODGE, IA 50501-4660
(515) 573-8147
(515) 955-8729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000135673
—
IA
Enumeration date
12/27/2011
Last updated
12/27/2011
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