Organization
AREA XIV AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE H BOLIE (EXECUTIVE DIRECTOR)
(641) 782-4040
Entity
Organization
Contact information
Practice address
215 MONTGOMERY ST, CRESTON, IA 50801
(641) 782-4040
(641) 782-4519
Mailing address
215 MONTGOMERY ST, CRESTON, IA 50801
(641) 782-4150
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101295
—
IA
Enumeration date
04/18/2006
Last updated
07/21/2022
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