Organization
FIRST VISION HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINA TANDIA (CARE COORDINATOR)
(641) 980-5031
Entity
Organization
Contact information
Practice address
1932 SW 3RD ST STE 4, ANKENY, IA 50023-2400
(515) 528-2466
(515) 528-2467
Mailing address
1932 SW 3RD ST STE 4, ANKENY, IA 50023-2400
(515) 528-2466
(515) 528-2467
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CXJK7GX9B
—
IA
05
—
X000240027
—
IA
Enumeration date
11/03/2021
Last updated
12/26/2023
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