|Entity Type||Healthcare Provider|
|Active||Over 11 years ago|
|Name||RUSSELL LEE RUSSELL|
|401 W SALEM AVE
INDIANOLA IA, 50125-2439, US
|5095 WINDSOR CIR
PLEASANT HILL IA, 50327-0908, US
|Remove 1255412995 NPI Number|
According to our database, Indianola Residential, Llc NPI is 1255412995, taxonomy code is 320800000X and license number is 910290, license state is located at Iowa. Indianola Residential, Llc physically located at 401 W Salem Ave, Indianola IA, 50125-2439. NPI Number 1033115704 has the healthcare provider type.
1255412995 NPI number is provided on an as is basis without warranty of any kind. 1255412995 is maintained by the National Plan & Provider Enumeration System. The contents of Indianola Residential, Llc are for informational purposes only.