| Calamity Rose Ranch Llc | |
|
701 Orange St Muscatine IA 52761-4358 | |
| (563) 261-4434 | |
| Not Available |
| Full Name | Calamity Rose Ranch Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 701 Orange St, Muscatine, Iowa |
| Authorized Official Name and Position | Kayla Lea Carlsten (OWNER OF CALAMITY ROSE RANCH LLC) |
| Authorized Official Contact | 5632614434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calamity Rose Ranch Llc 1612 Taylor Ave Muscatine IA 52761-9789 Ph: (563) 261-4434 | Calamity Rose Ranch Llc 701 Orange St Muscatine IA 52761-4358 Ph: (563) 261-4434 |
| NPI Number | 1215788500 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215788500 | NPI | - | NPPES |
| P10007816021 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Calamity Rose Ranch Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1612 Taylor Ave, Muscatine, IA 52761 Phone: 563-261-4434 | |
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