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Organization

PHYSMED IOWA LLC

Active
Other names
SERENE CARE HOSPICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACOB KEITH PANOWICZ (OWNER/CEO)
(402) 926-4088
Entity
Organization

Contact information

Practice address
1130 S SCOTT BLVD STE 201, IOWA CITY, IA 52240-2908
(319) 338-5503
(319) 351-1281
Mailing address
4905 S 107TH AVE STE 200, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
12/12/2019
Last updated
01/29/2020
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