Organization
CEDAR VALLEY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAELA C VANDERSEE CPA (DIRECTOR OF FINANCE)
(319) 272-2002
Entity
Organization
Contact information
Practice address
900 TOWER PARK DR, WATERLOO, IA 50701-9098
(319) 272-2002
(319) 272-2071
Mailing address
PO BOX 2880, WATERLOO, IA 50704-2880
(319) 272-2002
(319) 272-2071
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1504
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615047
—
IA
01
—
61504
WELLMARK BC BS OF IOWA
IA
Enumeration date
04/16/2007
Last updated
04/11/2022
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