Organization
IOWA CITY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DEGROOT (DIRECTOR OF FINANCE)
(319) 351-5665
Entity
Organization
Contact information
Practice address
1526 SYCAMORE ST, IOWA CITY, IA 52240-6021
(319) 351-5665
(319) 351-5729
Mailing address
1025 WADE ST, IOWA CITY, IA 52240-6626
(319) 351-5665
(319) 351-5729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615070
—
IA
01
—
61507
WELLMARK
IA
Enumeration date
02/14/2019
Last updated
11/29/2023
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