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Organization

CARROLL COUNTY HOME CARE AIDE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PETERS EVANS MD (CHAIRMAN CARROLL COUNTY BOARD OF HE)
(712) 792-1500
Entity
Organization

Contact information

Practice address
17436 MAHOGANY AVENUE, CARROLL, IA 51401-0966
(712) 792-9517
(712) 792-0254
Mailing address
PO BOX 966, CARROLL, IA 51401-0966
(712) 792-9517
(712) 792-0254

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138875
IA
Enumeration date
03/14/2007
Last updated
08/22/2020
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