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Organization

DAVENPORT IOWA HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETSEY ANN MORTHLAND PHD (EXECUTIVE DIRECTOR)
(309) 781-0499
Entity
Organization

Contact information

Practice address
1895 MIDDLE ROAD, SUITE 201, BETTENDORF, IA 52722-7601
(309) 781-0499
Mailing address
1895 MIDDLE ROAD, SUITE 201, BETTENDORF, IA 52722-7601
(309) 781-0499

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374U00000X
Home Health Aide
385H00000X
Respite Care

Other

Enumeration date
06/05/2020
Last updated
04/20/2023
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