Organization
FRIENDSHIP HAVEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALLEEN ENGELS (CFO)
(515) 573-6018
Entity
Organization
Contact information
Practice address
420 KENYON RD, FORT DODGE, IA 50501-5749
(515) 573-2121
(515) 573-6045
Mailing address
420 KENYON RD, FORT DODGE, IA 50501-5749
(515) 573-2121
(515) 573-6045
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
940037
IA
314000000X
Skilled Nursing Facility
Primary
940037
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175968
—
IA
05
—
801308
—
IA
Enumeration date
06/14/2005
Last updated
01/21/2022
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