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Physmed Iowa LLC

Home Health in Iowa City, IA. Organization (NPI-2).

NPI number1992279095
StatusActive
Last updated in NPPESJan 11, 2019

Details

NPI
1992279095
Entity type
Organization (NPI-2)
Legal business name
Physmed Iowa LLC
Organization subpart
No
Enumeration date
Jan 11, 2019
Last updated
Jan 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1130 S Scott Blvd
Iowa City, IA 52240-2907

Phone 402-320-3939 · Fax 402-926-4197

Mailing address

4905 S 107th Ave Ste 200
Omaha, NE 68127-1965

Phone 402-926-4088 · Fax 402-926-4197

Authorized official

Jacob Keith Panowicz
Owner/Ceo
4029264088

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