| Heart Of Play Llc | |
|
1721 Elmhurst Ave Humboldt IA 50548-1882 | |
| (515) 450-2583 | |
| (515) 420-8303 |
| Full Name | Heart Of Play Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1721 Elmhurst Ave, Humboldt, Iowa |
| Authorized Official Name and Position | Nolan M Vitzthum (OWNER/THERAPIST) |
| Authorized Official Contact | 5154502583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Play Llc 1721 Elmhurst Ave Humboldt IA 50548-1882 Ph: (515) 450-2583 | Heart Of Play Llc 1721 Elmhurst Ave Humboldt IA 50548-1882 Ph: (515) 450-2583 |
| NPI Number | 1396575569 |
|---|---|
| Provider Enumeration Date | 08/03/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396575569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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