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NPI Code Detail

MEDICARE: STANLEY MBUH

MEDICARE:   STANLEY  MBUH
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1750153912
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY MBUH
Provider Business Mailing Address
First Line : 7644 HICKMAN RD
Second Line :
City : WINDSOR HEIGHTS
State : IA
Zip : 50324-4510
Country : US
Telephone Number : 515-525-3846
Fax Number :
Provider Business Practice Location Address
First Line : 7644 HICKMAN RD
Second Line :
City : WINDSOR HEIGHTS
State : IA
Zip : 50324-4510
Country : US
Telephone Number : 515-525-3846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 10/23/2023

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Directions to “ STANLEY MBUH ” Practice Location

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