Organization
EDDYVILLE BLAKESBURG CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA CATHERINE HERRMANN RN,BSN (DISTRICT NURSE)
(641) 777-1200
Entity
Organization
Contact information
Practice address
407 WILSON, BLAKESBURG, IA 52553
(641) 938-2202
(641) 938-2613
Mailing address
407 WILSON, BLAKESBURG, IA 52553
(641) 938-2202
(641) 938-2613
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421255
—
IA
Enumeration date
05/03/2007
Last updated
08/22/2020
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