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Organization

MITCHELL COUNTY

Active
Other names
Mitchell County Home Health Care/Public Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAVONNE WOLF R.N., B.S.N (R.N. ADMINISTRATOR)
(641) 832-3502
Entity
Organization

Contact information

Practice address
415 PLEASANT ST, SUITE 100, OSAGE, IA 50461-1935
(641) 832-3500
(641) 832-3501
Mailing address
415 PLEASANT ST, SUITE 100, OSAGE, IA 50461-1935
(641) 832-3500
(641) 832-3501

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670422
IA
01
1600675870
CLID #
IA
01
67042
BCBS
IA
Enumeration date
10/05/2005
Last updated
11/02/2011
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