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Organization

COUNTY OF LOUISA

Active
Other names
Louisa County Public Health Nursing Service
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDY SMITH (MANAGER)
(319) 523-3981
Entity
Organization

Contact information

Practice address
12635 COUNTY ROAD G56 STE 103, WAPELLO, IA 52653-9564
(319) 523-3981
(319) 523-8408
Mailing address
805 JL HODGES AVE., WAPELLO, IA 52653
(319) 523-3981
(319) 523-8408

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1962480962
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670505
IA
01
67050
WELLMARK BC/BS PROVIDER #
IA
Enumeration date
01/09/2006
Last updated
03/29/2023
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