Organization
GREENBELT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL KENNEDY R.N., B.S. (ADMINISTRATOR)
(641) 939-8444
Entity
Organization
Contact information
Practice address
1506 EDGINGTON AVE, ELDORA, IA 50627-1624
(641) 939-8444
Mailing address
1506 EDGINGTON AVE, ELDORA, IA 50627-1624
(641) 939-8444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670869
—
IA
01
—
67056
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/23/2005
Last updated
08/22/2020
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