SearchIowaIn Home Supportive Care Agency

Mark Peterson, EDS

NPI 1164069696 · on the registry since 2019 · sole proprietor

Practice

Address
5870 Nw 54th Ct
Johnston, IA 50131
Phone
(515) 462-4367

Registry record

Primary taxonomy
In Home Supportive Care Agency
253Z00000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa