Organization
WATERLOO VISITING NURSING ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KATHRYN NICHOLAS (EXECUTIVE DIRECTOR)
(319) 235-6201
Entity
Organization
Contact information
Practice address
2530 UNIVERSITY AVE, STE 3, WATERLOO, IA 50701-3304
(319) 235-6201
(319) 232-7296
Mailing address
2530 UNIVERSITY AVE, STE 3, WATERLOO, IA 50701-3304
(319) 235-6201
(319) 232-7296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670034
—
IA
Enumeration date
06/09/2005
Last updated
07/21/2022
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