| Post Acute Care Leaders- Iowa, Llc | |
|
2121 W 19th St Sioux City IA 51103-2333 | |
| (678) 593-3332 | |
| (678) 868-1584 |
| Full Name | Post Acute Care Leaders- Iowa, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2121 W 19th St, Sioux City, Iowa |
| Authorized Official Name and Position | Tyler Justiss (CONTROLLER) |
| Authorized Official Contact | 6785933332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Post Acute Care Leaders- Iowa, Llc 925 N Point Pkwy Ste 425 Alpharetta GA 30005-5200 Ph: (678) 593-3332 | Post Acute Care Leaders- Iowa, Llc 2121 W 19th St Sioux City IA 51103-2333 Ph: (678) 593-3332 |
| NPI Number | 1447979901 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447979901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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