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Organization

MONTGOMERY COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUE E DRAKE R.N. (DIRECTOR)
(712) 623-4893
Entity
Organization

Contact information

Practice address
1109 HIGHLAND AVE, RED OAK, IA 51566-1715
(712) 623-4893
(712) 623-5714
Mailing address
1109 HIGHLAND AVE, RED OAK, IA 51566
(712) 623-4893
(712) 623-5714

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
07/09/2006
Last updated
11/03/2011
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