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NPI Code Detail

MEDICARE: KDH HOME HEALTH, INC

MEDICARE: KDH HOME HEALTH, INC
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 AgencyIA

General Provider Information

NPI Number : 1790134765
Entity Type Code : Organization
Provider Name (Legal Business Name) : KDH HOME HEALTH, INC
Provider Business Mailing Address
First Line : 373 COLLINS RD NE
Second Line : STE 101
City : CEDAR RAPIDS
State : IA
Zip : 52402-3167
Country : US
Telephone Number : 319-247-0400
Fax Number : 319-377-5334
Provider Business Practice Location Address
First Line : 373 COLLINS RD NE
Second Line : STE 101
City : CEDAR RAPIDS
State : IA
Zip : 52402-3167
Country : US
Telephone Number : 319-247-0400
Fax Number : 319-377-5334
Authorized Official
Title or Position : PRESIDENT
Name : MRS. KAREN HUBER
Credential :
Telephone Number : 319-247-0400
Provider Enumeration Date : 06/09/2016
Last Update Date : 06/09/2016

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