Organization
HOSPICE OF WASHINGTON COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN WOLLENBERG (EXECUTIVE DIRECTOR)
(319) 653-7321
Entity
Organization
Contact information
Practice address
948 E 11TH ST, WASHINGTON, IA 52353-2633
(319) 653-7321
(319) 653-4057
Mailing address
948 E 11TH ST, WASHINGTON, IA 52353-2633
(319) 653-7321
(319) 653-4057
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615443
—
IA
01
—
161544
WELLMARK BCBS
IA
Enumeration date
08/15/2005
Last updated
06/13/2013
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