Organization
KISMET LGN, LLC
Active
Other names
WEL-Home health Logan
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
314 S ELM AVE, LOGAN, IA 51546-1442
(712) 644-3529
Mailing address
314 S ELM STREET, LOGAN, IA 51546-1442
(712) 644-3529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672873
—
IA
Enumeration date
11/19/2005
Last updated
01/08/2019
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