Organization
MATURA ACTION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DENISE GROVES RN (WIC/MCH PROGRAM DIRECTOR)
(641) 782-8431
Entity
Organization
Contact information
Practice address
203 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-8431
(641) 782-6287
Mailing address
203 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-8431
(641) 782-6287
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051581
—
IA
Enumeration date
10/06/2006
Last updated
08/22/2020
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