Qhc Humboldt South Llc

NPI 1760475487 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1760475487
Enumeration Date 08/28/2005
Last Updated 12/15/2014
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JERRY WILLIAM JERRY
Position OWNER
Phone (515) 332-4104
Fax (515) 332-4526
Practice Location
800 13TH ST S
HUMBOLDT IA, 50548-2439, US
Phone (515) 332-4104
Fax (515) 332-4526
Business Location
8350 HICKMAN RD
SUITE 15
DES MOINES IA, 50325-4311, US
Phone (515) 276-3656
Fax (515) 276-4353
Toxanomy
Taxonomy Code 314000000X
License State Iowa
License Number 0800050
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According to our database, Qhc Humboldt South Llc NPI is 1760475487, taxonomy code is 314000000X and license number is 0800050, license state is located at Iowa. Qhc Humboldt South Llc physically located at 800 13th St S, Humboldt IA, 50548-2439. NPI Number 1033115704 has the healthcare provider type.

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1760475487 NPI number is provided on an as is basis without warranty of any kind. 1760475487 is maintained by the National Plan & Provider Enumeration System. The contents of Qhc Humboldt South Llc are for informational purposes only.