Individual
MARY MELISSA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6101 GOODMAN DR, URBANDALE, IA 50322
(515) 230-6691
Mailing address
6101 GOODMAN DR, URBANDALE, IA 50322-8210
(515) 230-6691
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070780
IA
253Z00000X
In Home Supportive Care Agency
070780
IA
314000000X
Skilled Nursing Facility
070780
IA
315D00000X
Inpatient Hospice
070780
IA
374U00000X
Home Health Aide
070780
IA
376K00000X
Nurse's Aide
070780
IA
385H00000X
Respite Care
070780
IA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
070780
IA
Other
Enumeration date
11/14/2017
Last updated
06/13/2018
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