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Organization

POST ACUTE CARE LEADERS- IOWA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER JUSTISS (CONTROLLER)
(678) 593-3332
Entity
Organization

Contact information

Practice address
2121 W 19TH ST, SIOUX CITY, IA 51103-2333
(678) 593-3332
(678) 868-1584
Mailing address
925 N POINT PKWY STE 425, ALPHARETTA, GA 30005-5200
(678) 593-3332
(678) 868-1584

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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