Organization
HIAWATHA MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ROBINSON (ADMINISTRATOR)
(507) 825-5697
Entity
Organization
Contact information
Practice address
107 5TH AVE NE, PIPESTONE, MN 56164-1928
(507) 825-5697
Mailing address
107 5TH AVE NE, PO BOX 247, PIPESTONE, MN 56164-1928
(507) 825-5697
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
801035-1-RS
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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