Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1710975974 |
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| LBN Legal business name | COUNTY OF WAPELLO | ||||
| Authorized official | LYNELLE DIERS - (CLINICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/12/2005 | ||||
| Last updated | 12/22/2009 - About 16 years ago | ||||
| Identifiers |
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COUNTY OF WAPELLO
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