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NPI Code Detail

MEDICARE: AYAWA NURSING AGENCY

MEDICARE: AYAWA NURSING AGENCY
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
1251E00000XHome Health Agency
2163W00000XRegistered Nurse

General Provider Information

NPI Number : 1053137380
Entity Type Code : Organization
Provider Name (Legal Business Name) : AYAWA NURSING AGENCY
Provider Business Mailing Address
First Line : 1566 S GILBERT STREET
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4304
Country : US
Telephone Number : 319-936-3461
Fax Number :
Provider Business Practice Location Address
First Line : 1566 S GILBERT STREET
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4304
Country : US
Telephone Number : 319-936-3461
Fax Number :
Authorized Official
Title or Position : CEO
Name : YOHANNES MISGINA
Credential :
Telephone Number : 206-321-4999
Provider Enumeration Date : 12/03/2024
Last Update Date : 12/03/2024

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Directions to “AYAWA NURSING AGENCY ” Practice Location

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