Organization
POCAHONTAS COUNTY HOME CARE AIDE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL SUE CONLIN LBSW (AGENCY DIRECTOR)
(712) 335-4587
Entity
Organization
Contact information
Practice address
21 3RD AVE NE, POCAHONTAS, IA 50574-1614
(712) 335-4587
(712) 335-3929
Mailing address
21 3RD AVE NE, POCAHONTAS, IA 50574-1614
(712) 335-4587
(712) 335-3929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119438
ELDERLY WAIVER
IA
Enumeration date
11/21/2006
Last updated
10/07/2011
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