| Organization Name: | HOWARD RESIDENTIAL CARE FACILITY, INC. |
| NPI Number: | 1104914639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID HARTBERG (PROVISIONAL ADMINISTRATOR) |
| Mailing Address: | 21668 80th St Cresco |
| State: | IA US |
| Postal Code: | 521368412 |
| Phone Number: | 5635472398 |
| Fax Number: | 5635474274 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | CCDI-478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |