Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TAGUE (OWNER)
(563) 212-2858
Entity
Organization
Contact information
Practice address
2347 13TH AVE N, CLINTON, IA 52732-3329
(563) 212-2858
Mailing address
2347 13TH AVE N, CLINTON, IA 52732-3329
(563) 212-2858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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