Organization
HOSPICE WITH HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN RENEE STANE RN (DIRECTOR OF OPERATIONS)
(712) 325-6802
Entity
Organization
Contact information
Practice address
101 E GRAHAM AVE, SUITE 2, COUNCIL BLUFFS, IA 51503-6691
(712) 325-6802
(712) 322-2671
Mailing address
101 E GRAHAM AVE, SUITE 2, COUNCIL BLUFFS, IA 51503-6691
(712) 325-6802
(712) 322-2671
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615807
—
IA
01
—
61574
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/07/2005
Last updated
08/22/2020
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