Organization
NE PLUS ULTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL RICHARDSON II (CEO)
(901) 371-6737
Entity
Organization
Contact information
Practice address
1740 NW 99TH CT, CLIVE, IA 50325-6753
(901) 371-6737
Mailing address
1740 NW 99TH CT, CLIVE, IA 50325-6753
(901) 371-6737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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