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Contact Information

FRIENDSHIP HAVEN, INC
420 KENYON RD
FORT DODGE, IA50501-5749
 Phone: 515-573-2121
 Fax: 515-573-6045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for FRIENDSHIP HAVEN, INC

NPI Number 1114922481
LBN Legal business name FRIENDSHIP HAVEN, INC
Authorized official KALLEEN ENGELS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2005
Last updated 01/21/2022 - About 4 years ago
Identifiers
IA License # 940037
IA Medicaid 175968
IA Medicaid 801308
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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