Organization
SUNNYBROOK HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY L COLLIER (ADMINISTRATOR/CEO)
(641) 472-4808
Entity
Organization
Contact information
Practice address
400 HIGHLAND ST STE 102, FAIRFIELD, IA 52556-3713
(641) 472-4808
(641) 472-3339
Mailing address
116 N COURT ST, FAIRFIELD, IA 52556-2811
(641) 472-4808
(641) 472-3339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672907
—
IA
01
—
WELLMARK BC&BS
HHA PROVIDER
IA
Enumeration date
08/13/2006
Last updated
11/16/2021
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