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Organization

COUNTY OF WAPELLO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYNELLE DEVEE DIERS RN,BSN,BSW (CLINICAL DIRECTOR)
(641) 682-5434
Entity
Organization

Contact information

Practice address
108 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-5434
(641) 682-2245
Mailing address
108 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-5434
(641) 682-2245

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
167038
IA

Other

Enumeration date
10/12/2005
Last updated
12/22/2009
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