Organization
GOOD SAMARITAN SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MORGAN NICOLE BODE COTA (OCCUPATIONAL THERAPY ASSISTANT)
(712) 330-2732
Entity
Organization
Contact information
Practice address
721 S KIEL ST, HOLSTEIN, IA 51025-5041
(712) 330-2732
Mailing address
721 S KIEL ST, HOLSTEIN, IA 51025-5041
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
000999
IA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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