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Organization

SOUTHERN IA HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANN MARIE O'BRIEN R.N. (R.N./ADMINISTRATOR/OWNER)
(641) 932-7521
Entity
Organization

Contact information

Practice address
121 BENTON AVE W, ALBIA, IA 52531-1925
(641) 932-7521
(641) 932-7463
Mailing address
PO BOX 262, ALBIA, IA 52531-0262
(641) 932-7521
(641) 932-7463

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0674010
IA
01
67401
WELLMARK BLUE CROSS/SHIEL
IA
Enumeration date
06/20/2006
Last updated
08/22/2020
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