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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LONA LEA LEGRAND (OWNER)
(563) 252-2669
Entity
Organization

Contact information

Practice address
39715 MAHOGANY AVE, COLESBURG, IA 52035-8038
(563) 252-2125
Mailing address
39715 MAHOGANY AVE, COLESBURG, IA 52035-8038
(563) 252-2125

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/15/2017
Last updated
01/15/2017
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