Organization
TYNIQUES ROSE GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE DEVERS (OWNER)
(402) 707-0615
Entity
Organization
Contact information
Practice address
14406 HOLCOMB AVE, URBANDALE, IA 50323-2771
(402) 707-0615
Mailing address
14406 HOLCOMB AVE, URBANDALE, IA 50323-2771
(402) 707-0615
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
10/08/2019
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