Organization
SENIORWELL OF IOWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KING (OWNER)
(844) 882-3127
Entity
Organization
Contact information
Practice address
699 WALNUT ST FL 4, DES MOINES, IA 50309-3929
(844) 882-3127
Mailing address
2100 E LAKE COOK RD STE 1000, BUFFALO GROVE, IL 60089-1999
(844) 882-3127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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