Organization
PHOENIX OF THE HEARTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M SMITH (OWNER)
(515) 525-7167
Entity
Organization
Contact information
Practice address
3507 GLOVER AVE, DES MOINES, IA 50315-7553
(515) 525-7167
Mailing address
3507 GLOVER AVE, DES MOINES, IA 50315-7553
(515) 525-7167
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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