Organization
COUNTY OF OBRIEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LOUISE YOUNGERS RN, BSN (NURSE ADMINSTRATOR)
(712) 957-0105
Entity
Organization
Contact information
Practice address
155 S HAYES AVENUE, PRIMGHAR, IA 51245
(712) 957-0105
(712) 957-0105
Mailing address
PO BOX 525, PRIMGHAR, IA 51245
(712) 957-0105
(712) 957-0105
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
A128751
IA
Other
Enumeration date
06/21/2005
Last updated
08/15/2013
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