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Organization

MATURA ACTION CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY DENISE GROVES RN (WIC/MCH PROGRAM DIRECTOR)
(641) 782-8431
Entity
Organization

Contact information

Practice address
203 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-8431
(641) 782-6287
Mailing address
203 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-8431
(641) 782-6287

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0046201
IA
05
0051581
IA
Enumeration date
09/26/2006
Last updated
08/22/2020
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