Organization
CEDAR RAPIDS IA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RAY BETTERS JR. (OWNER/ DIRECTOR)
(319) 320-2069
Entity
Organization
Contact information
Practice address
1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
(319) 320-2069
Mailing address
1221 PARK PL NE, CEDAR RAPIDS, IA 52402-2001
(319) 320-2069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IA
311500000X
Alzheimer Center (Dementia Center)
—
IA
385H00000X
Respite Care
—
IA
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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