Organization
AASE HAUGEN HOMES, INC.
Active
Other names
Aase Haugen Senior Services
Organization subpart
No
Provider details
NPI number
Authorized official
DORI FRANA (ADMINISTRATIVE SERVICES)
(563) 382-3603
Entity
Organization
Contact information
Practice address
4 OHIO ST, DECORAH, IA 52101-1516
(563) 382-3603
Mailing address
4 OHIO ST, DECORAH, IA 52101-1516
(563) 382-3603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0115584
IA
311Z00000X
Custodial Care Facility
R338
IA
314000000X
Skilled Nursing Facility
Primary
960338
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115584
WAIVER NUMBER
IA
05
—
0800003
—
IA
05
—
0892315
—
IA
01
—
65178
WELLMARK NUMBER
IA
01
—
960338
SNF LICENSE NUMBER
IA
01
—
R338
RCF LICENSE NUMBER
IA
Enumeration date
06/09/2005
Last updated
10/28/2020
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