Organization
NHAO,LLC
Active
Other names
Northern Hills Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L TROTH (EXECUTIVE DIRECTOR)
(712) 239-9402
Entity
Organization
Contact information
Practice address
4002 TETON TRCE, SIOUX CITY, IA 51104-4387
(712) 239-9402
(712) 239-9406
Mailing address
4002 TETON TRCE, SIOUX CITY, IA 51104-4387
(712) 239-9402
(712) 239-9406
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0058
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458844
—
IA
Enumeration date
04/20/2007
Last updated
08/22/2020
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