Organization
HIAWATHA HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA OSTROWSKI (CEO)
(507) 226-0710
Entity
Organization
Contact information
Practice address
1820 VALKYRIE DR NW, ROCHESTER, MN 55901-2441
(507) 289-7222
(507) 289-8007
Mailing address
1820 VALKYRIE DR NW, ROCHESTER, MN 55901-2441
(507) 289-7222
(507) 289-8007
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A452025400
PROVIDER ID
MN
Enumeration date
02/10/2023
Last updated
02/10/2023
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