Organization
OPTIMAE LIFESERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD HOTEK CEO (CEO)
(641) 472-1684
Entity
Organization
Contact information
Practice address
3500 HARMONY CT, MUSCATINE, IA 52761-5700
(563) 263-5585
(563) 263-8610
Mailing address
301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CMHC
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600482882
IOWA PLAN MIS SITE
IA
Enumeration date
04/17/2008
Last updated
10/28/2013
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