Organization
OLYMPIC MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND AGBOR MR (CEO)
(712) 221-5827
Entity
Organization
Contact information
Practice address
4823 NE OAK LN, ANKENY, IA 50021-1851
(712) 221-5827
Mailing address
4823 NE OAK LN, ANKENY, IA 50021-1851
(712) 221-5827
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
04/20/2023
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