Provider Demographics
NPI:1043414394
Name:APPANOOSE COMMUNITY CARE SERVICES
Entity Type:Organization
Organization Name:APPANOOSE COMMUNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-437-3474
Mailing Address - Street 1:19890 ST. JOSEPH'S DRIVE
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544
Mailing Address - Country:US
Mailing Address - Phone:641-437-3474
Mailing Address - Fax:641-437-3307
Practice Address - Street 1:19890 ST. JOSEPH'S DRIVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544
Practice Address - Country:US
Practice Address - Phone:641-437-3474
Practice Address - Fax:641-437-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA5888CO04251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health