Provider Demographics
NPI:1295732675
Name:TAMA COUNTY ADMINISTRATIVE OFFICES
Entity type:Organization
Organization Name:TAMA COUNTY ADMINISTRATIVE OFFICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-484-4788
Mailing Address - Street 1:129 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:IA
Mailing Address - Zip Code:52342-1319
Mailing Address - Country:US
Mailing Address - Phone:641-484-4788
Mailing Address - Fax:641-484-5447
Practice Address - Street 1:129 W HIGH ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:IA
Practice Address - Zip Code:52342-1319
Practice Address - Country:US
Practice Address - Phone:641-484-4788
Practice Address - Fax:641-484-5447
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAMA COUNTY ADMINISTRATIVE OFFICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-30
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670612Medicaid
IA0670612Medicaid