Organization
KINDRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WETZ (SPEECH LANGUAGE PATHOLOGIST)
(712) 366-0286
Entity
Organization
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-0286
Mailing address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
002138
IA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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