Organization · Type 2 NPI
Hiawatha Manor, Inc.
Intellectual Disabilities Intermediate Care Facility · Pipestone, MN
NPI number
1508030156
Active
Practice location
107 5th Ave NE
Pipestone, MN 56164-1928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 801035-1-RS (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1508030156
Hiawatha Manor, Inc.'s National Provider Identifier is 1508030156, issued on Apr 15, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pipestone, MN. The record was last updated on Apr 15, 2008.