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Hawkeye Care Center Of Cresco Llc

Hawkeye Care Center Of Cresco Llc is a health care provider in Spirit Lake, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 701 Vernon Rd, Cresco, IA 52136-1944, US
Practice Location Phone563-547-3580
Practice Location Fax563-547-3532
Legal Business NameHAWKEYE CARE CENTER OF CRESCO LLC
Other Organization NameHAWKEYE CARE CENTER CRESCO
Other Organization Name TypeDoing Business As Name
NPI ?1740246883
Entity TypeOrganization
Enumeration Date ? Apr 26, 2006
Last Update Date ? Sep 1, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Hawkeye Care Center Of Cresco Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 450905Iowa

legacy-id-icon Legacy Provider IDs of Hawkeye Care Center Of Cresco Llc

Provider IdIssuer StateIssuer TypeIssuer
0809467IowaMedicaid

official-icon Authorized Official of Hawkeye Care Center Of Cresco Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Hawkeye Care Center Of Cresco Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Doug Johnson
Authorized Official Title/PositionDIRECTOR OF OPERATIONS
Authorized Official Phone Number515-223-0173