NPI 1336219146

Greenleaf Senior Care INC

Organisation Nursing Care Agency Fort Dodge, IA

Practice location

Address: 1305 N 22nd St, Fort Dodge, IA 50501-2117
Phone: (515) 955-4145
Fax: (515) 955-1731

Authorised official

Name: Judy Fowler
Title: Administrator
Phone: (515) 955-4145

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 940016 (IA)

Other Nursing Care providers in Iowa →

Registry record

NPI: 1336219146
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 30 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.