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Organization

HUMBOLDT WORKSHOP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOAN MARIE KELLNER (CHIEF FINANCIAL OFFICER)
(515) 332-2841
Entity
Organization

Contact information

Practice address
21 TAFT ST N, HUMBOLDT, IA 50548-1768
(515) 332-2841
(515) 332-1915
Mailing address
21 TAFT ST N, PO BOX 587, HUMBOLDT, IA 50548-1768
(515) 332-2841
(515) 332-1915

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0892885
IA
Enumeration date
10/23/2006
Last updated
07/21/2022
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