Organization
QC VITAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GUSTAFSON (OWNER/ ADMINISTRATOR)
(563) 265-5001
Entity
Organization
Contact information
Practice address
315 E 5TH ST STE 220, WATERLOO, IA 50703-4757
(563) 265-5001
Mailing address
315 E 5TH ST STE 220, WATERLOO, IA 50703-4757
(563) 265-5001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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