Healthcare Provider Details

I. General information

NPI: 1407077464
Provider Name (Legal Business Name): AGING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 O AVE NW
CEDAR RAPIDS IA
52405-1520
US

IV. Provider business mailing address

740 N 15TH AVE STE A
HIAWATHA IA
52233-2384
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-3647
  • Fax: 319-398-3954
Mailing address:
  • Phone: 319-398-3634
  • Fax: 319-398-4096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA BATCHELER
Title or Position: MANAGER BILLING
Credential:
Phone: 319-743-9529