Organization
CALAMITY ROSE RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA LEA CARLSTEN PMHNP (OWNER OF CALAMITY ROSE RANCH LLC)
(563) 261-4434
Entity
Organization
Contact information
Practice address
701 ORANGE ST, MUSCATINE, IA 52761-4358
(563) 261-4434
Mailing address
1612 TAYLOR AVE, MUSCATINE, IA 52761-9789
(563) 261-4434
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P10007816021
—
IA
Enumeration date
03/27/2024
Last updated
03/27/2024
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