Organization
COUNTY OF DECATUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRE ANN ACHESON (ASSISTANT ADMINISTRATOR)
(641) 446-6518
Entity
Organization
Contact information
Practice address
207 NE IDAHO ST, LEON, IA 50144-1646
(641) 446-6518
(641) 446-3616
Mailing address
1502 NE POPLAR ST, LEON, IA 50144-1281
(641) 446-6518
(641) 446-3616
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671685
—
IA
Enumeration date
09/14/2009
Last updated
05/24/2021
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