Organization Name: | HEGG MEMORIAL HEALTH CENTER |
NPI Number: | 1881663276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN ZEVENBERGEN (ADMINISTRATOR) |
Mailing Address: | 2116 14th St Rock Valley |
State: | IA US |
Postal Code: | 512471422 |
Phone Number: | 7124768200 |
Fax Number: | 7124768290 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 0448654 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |