Organization
HOSPICE OF JACKSON COUNTY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE ANN THEDE (DIRECTOR)
(563) 652-0123
Entity
Organization
Contact information
Practice address
611 W QUARRY ST, MAQUOKETA, IA 52060-2125
(563) 652-0123
(563) 652-2181
Mailing address
PO BOX 675, 611 WEST QUARRY STREET, MAQUOKETA, IA 52060-2125
(563) 652-0123
(563) 652-2181
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615765
—
IA
Enumeration date
07/05/2005
Last updated
12/13/2022
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