Organization · NPI-2
Hawkeye Respiratory Services, LLC
Skilled Nursing Facility, Nursing Care, Pediatric · Brooklyn Park, MN
NPI number1699029686
StatusActive
Last updated in NPPESOct 30, 2012
Details
- NPI
- 1699029686
- Entity type
- Organization (NPI-2)
- Legal business name
- Hawkeye Respiratory Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2012
- Last updated
- Oct 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | – | – | Yes |
Practice location
1223 Dupont Ln NBrooklyn Park, MN 55444-2710
Phone 763-843-0982
Mailing address
1223 Dupont Ln NBrooklyn Park, MN 55444-2710
Authorized official
Lender K Foster
Administrator
7638430982
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