Organization
YOUNGHOUSE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK ESCORCIA D.O. (ADMINISTRATOR)
(319) 752-4000
Entity
Organization
Contact information
Practice address
400 S BROADWAY, BURLINGTON, IA 52601
(319) 752-4000
Mailing address
400 S BROADWAY, 400 S BROADWAY, BURLINGTON, IA 52601
(319) 752-4000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11047
IA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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