Organization
SENIOR RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ERIC POCI (EXECUTIVE DIRECTOR)
(563) 263-7292
Entity
Organization
Contact information
Practice address
1808 MULBERRY AVE, MUSCATINE, IA 52761-3529
(563) 263-7292
Mailing address
1808 MULBERRY AVE, MUSCATINE, IA 52761-3529
(563) 263-7292
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X000127621
IRS TAXONOMY
IA
Enumeration date
08/28/2016
Last updated
08/28/2016
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