NPI 1104912203 · live from the CMS NPI Registry
Allen Memorial Hospital Corporation
Home Health in Waterloo, IA. National Provider Identifier 1104912203, active.
NPI record
| NPI | 1104912203 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1117 Maxhelen Blvd, Waterloo, IA 50701 |
| Practice phone | 319-274-7154 |
| Mailing address | 1825 Logan Ave, Waterloo, IA 50703 |
| Enumerated | October 5, 2006 |
| Last updated | December 29, 2010 |
| Authorized official | John Knox, President / Ceo |
| Other names | Allen Private Duty Home Care-Rosewood |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.