Individual
SARA BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 NE 12TH AVE APT 102, PLEASANT HILL, IA 50327-8802
(515) 720-6455
Mailing address
3015 NE 52ND CT, DES MOINES, IA 50317-4915
(515) 650-0898
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
X000913411
IA
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000913411
—
IA
Enumeration date
10/30/2024
Last updated
10/30/2024
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