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Organization

ST DECLAN HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA SHUDZEKA (CEO)
(515) 661-0262
Entity
Organization

Contact information

Practice address
6070 WOODBRIDGE CRST, MARION, IA 52302-9551
(515) 661-0262
Mailing address
6070 WOODBRIDGE CRST, MARION, IA 52302-9551
(515) 661-0262

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
09/13/2023
Last updated
01/03/2024
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