MEDICARE: BOWED OAK SCL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629935747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOWED OAK SCL LLC

Provider Business Mailing Address
First Line	:	723 W 3RD ST
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2201
Country	:	US
Telephone Number	:	319-429-4589
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 W 3RD ST
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2201
Country	:	US
Telephone Number	:	319-429-4589
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MARGARET KELLER
Credential	:
Telephone Number	:	319-429-4589

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/16/2026

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Directions to “BOWED OAK SCL LLC ” Practice Location

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