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Contact Information

GREENLEAF SENIOR CARE INC
1305 N 22ND ST
FORT DODGE, IA50501-2117
 Phone: 515-955-4145
 Fax: 515-955-1731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for GREENLEAF SENIOR CARE INC

NPI Number 1336219146
LBN Legal business name GREENLEAF SENIOR CARE INC
Authorized official JUDY FOWLER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 10/30/2007 - About 19 years ago
Identifiers
IA License # 940016
IA Medicaid 0809335
IA Medicaid 0896365
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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