Organization
CENTER FOR ACTIVE SENIORS, INC.
Active
Other names
Center for Aging Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNN KOPP (PRESIDENT/CEO)
(563) 386-7477
Entity
Organization
Contact information
Practice address
1035 W. KIMBERLY RD., DAVENPORT, IA 52806-5709
(563) 386-7477
(563) 386-7376
Mailing address
1035 W. KIMBERLY RD., DAVENPORT, IA 52806-5709
(563) 386-7477
(563) 386-7376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
504RDN000056179
IA
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068320
—
IA
Enumeration date
06/05/2007
Last updated
08/04/2023
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