O1
OPCO 19TH ST. SIOUX CITY, IA, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SIOUX CITY, IA
Licensed since
2024
Rate
—
Federal identifiers
NPI registry number1376372300
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameISAAC DOLE
TitleMANAGER OF THE LLC
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