Organization
PAGE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH HEUSER (CEO)
(712) 542-2176
Entity
Organization
Contact information
Practice address
822 S 17TH ST, CLARINDA, IA 51632-2624
(712) 542-3936
(712) 542-2066
Mailing address
822 S 17TH ST, CLARINDA, IA 51632-2624
(712) 542-3936
(712) 542-2066
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671008
—
IA
Enumeration date
07/05/2005
Last updated
08/22/2020
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