Organization
NORTHLAND AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A. BUTTERS (EXECUTIVE DIRECTOR)
(563) 382-2941
Entity
Organization
Contact information
Practice address
808 RIVER ST, DECORAH, IA 52101-2134
(563) 382-2941
(563) 382-6248
Mailing address
808 RIVER ST, DECORAH, IA 52101-2134
(563) 382-2941
(563) 382-6248
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105890
—
IA
Enumeration date
04/23/2007
Last updated
08/22/2020
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