Organization Name: | NORTH CENTRAL HOME CARE |
NPI Number: | 1124397781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL WOOD (BUSINESS MANAGER) |
Mailing Address: | 328 S 8th St Lowr Level Fort Dodge |
State: | IA US |
Postal Code: | 505014660 |
Phone Number: | 5155738147 |
Fax Number: | 5159558729 |
NPI Enumeration Date: | 12/27/2011 |
NPI Last Update Date: | 12/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |