Organization
CIRCLE OF LIFE REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN JEAN LERONARD BA PSYCHOLOGY (EXECUTIVE DIRECTOR)
(641) 464-8058
Entity
Organization
Contact information
Practice address
112 W MADISON ST, MOUNT AYR, IA 50854-1630
(641) 464-8058
(641) 464-8089
Mailing address
112 W MADISON ST, P.O.BOX 604, MOUNT AYR, IA 50854-1630
(641) 464-8058
(641) 464-8089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000109704
—
IA
Enumeration date
08/28/2014
Last updated
08/28/2014
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