Organization
HOWARD RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES OTT (ADMINISTRATOR)
(563) 547-2398
Entity
Organization
Contact information
Practice address
21668 80TH ST, CRESCO, IA 52136-8412
(563) 547-2398
(563) 547-4274
Mailing address
21668 80TH ST, CRESCO, IA 52136-8412
(563) 547-2398
(563) 547-4274
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
R-478
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080432
ELDERLY WAIVER
IA
05
—
0894956
—
IA
Enumeration date
09/28/2006
Last updated
08/22/2020
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