NPI 1003086604

Promise House Hiawatha INC.

Organisation Assisted Living Facility Hiawatha, IA

Practice location

Address: 1320 Litchfield Dr, Hiawatha, IA 52233-2343
Phone: (319) 743-9812
Mailing address: 405 N 15th Ave, Hiawatha, IA 52233-2347

Authorised official

Name: Kent Walton
Title: Administrator
Phone: (319) 378-8583

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003086604
Entity type: Organization
NPI issued: 11 Mar 2008
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.