Organization
HAWKEYE CARE CENTER OF CRESCO LLC
Active
Other names
Hawkeye Care Center Cresco
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG JOHNSON (DIRECTOR OF OPERATIONS)
(515) 223-0173
Entity
Organization
Contact information
Practice address
701 VERNON RD, CRESCO, IA 52136-1944
(563) 547-3580
(563) 547-3532
Mailing address
1912 ZENITH AVE, SUITE 2526, SPIRIT LAKE, IA 51360-1000
(712) 759-1321
(712) 759-1322
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
450905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809467
—
IA
Enumeration date
04/26/2006
Last updated
09/01/2015
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