Healthcare Provider Details

I. General information

NPI: 1215093265
Provider Name (Legal Business Name): AMERICAN HOME FINDING ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PENNSYLVANIA AVE
OTTUMWA IA
52501-6427
US

IV. Provider business mailing address

217 E 5TH ST
OTTUMWA IA
52501-2627
US

V. Phone/Fax

Practice location:
  • Phone: 641-684-2395
  • Fax: 641-684-2534
Mailing address:
  • Phone: 641-682-3449
  • Fax: 641-682-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberF053221
License Number StateIA

VIII. Authorized Official

Name: MR. TOM X LAZIO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 641-682-3449