Organization Name: | HAWKEYE AREA COMMUNITY ACTION PROGRAM |
NPI Number: | 1194890558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON MANICCIA (CEO) |
Mailing Address: | 1515 Hawkeye Dr Hiawatha |
State: | IA US |
Postal Code: | 522331102 |
Phone Number: | 3193837811 |
Fax Number: | 3193933628 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |