Organization
DIERCKS SENIOR CARE LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L DIERCKS (CO-OWNER)
(319) 235-5999
Entity
Organization
Contact information
Practice address
1844 W RIDGEWAY AVE, WATERLOO, IA 50701-4546
(319) 235-5999
(319) 234-1794
Mailing address
1844 W RIDGEWAY AVE, WATERLOO, IA 50701-4546
(319) 235-5999
(319) 234-1794
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609843
AVAILITY
IA
Enumeration date
03/28/2016
Last updated
09/28/2016
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