Organization
HOMECHOICE SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLEENE K HERLOCKER (EXECUTIVE DIRECTOR)
(319) 363-2721
Entity
Organization
Contact information
Practice address
5340 N PARK PL NE, STE 202, CEDAR RAPIDS, IA 52402-6235
(319) 363-2721
(319) 378-0334
Mailing address
5340 N PARK PL NE, STE 202, CEDAR RAPIDS, IA 52402-6235
(319) 363-2721
(319) 378-0334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000702559
—
IA
Enumeration date
07/23/2015
Last updated
07/23/2015
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