Organization
PROMISE HOUSE HIAWATHA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT WALTON (ADMINISTRATOR)
(319) 378-8583
Entity
Organization
Contact information
Practice address
1320 LITCHFIELD DR, HIAWATHA, IA 52233-2343
(319) 743-9812
Mailing address
405 N 15TH AVE, HIAWATHA, IA 52233-2347
(319) 378-8583
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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