Organization
YOUR HOME HOST HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM POEHLMAN (PRESIDENT)
(402) 981-8469
Entity
Organization
Contact information
Practice address
1983 PERRY TRL, WOODBINE, IA 51579-5078
(402) 981-8469
Mailing address
1983 PERRY TRL, WOODBINE, IA 51579-5078
(402) 981-8469
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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