Organization Name: | IOWA HOME BASED SERVICES |
NPI Number: | 1538494547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA ROSE HEMANN (EXECUTIVE DIRECTOR) |
Mailing Address: | 23 S 2nd St Keokuk |
State: | IA US |
Postal Code: | 526325815 |
Phone Number: | 3195242507 |
Fax Number: | 3195241894 |
NPI Enumeration Date: | 10/08/2009 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |