# HAZE HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haze Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780316067
- **Authorized official:** LYNETTE HAYES RN (OWNER)
- **Authorized official phone:** (319) 239-2039

## Contact information

- **Practice address:** 116 SUNSET LN, ELK RUN HEIGHTS, IA 50707-1373
- **Practice address phone:** (319) 299-4609
- **Practice address fax:** (319) 333-7099
- **Mailing address:** 116 SUNSET LN, ELK RUN HEIGHTS, IA 50707-1373
- **Mailing address phone:** (319) 299-4609
- **Mailing address fax:** (319) 333-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 06/27/2022