Organization
NEW HOPE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK HERMSEN (CEO)
(712) 792-5500
Entity
Organization
Contact information
Practice address
1211 E 18TH ST, CARROLL, IA 51401-1833
(712) 792-5500
(712) 792-9944
Mailing address
1211 E 18TH ST, PO BOX 887, CARROLL, IA 51401-1833
(712) 792-5500
(712) 792-9944
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
IMR-734
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880070
—
IA
Enumeration date
10/18/2006
Last updated
08/22/2020
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