Post Acute Care Leaders- Iowa, LLC
NPI #1447979901 in Sioux City, Iowa
Provider Information
- NPI Number
- 1447979901
- Entity Type
- Organization
- Organization Name
- Post Acute Care Leaders- Iowa, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 26, 2022
- Last Updated
- Aug 26, 2022
Practice Location
- Address
- 2121 W 19TH ST
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51103-2333
- Phone
- (678) 593-3332
Authorized Official
- Name
- TYLER JUSTISS
- Title
- CONTROLLER
- Phone
- (678) 593-3332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
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