Healthcare Provider Details

I. General information

NPI: 1366589004
Provider Name (Legal Business Name): BREES REST HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 WASHINGTON AVE E
ALBIA IA
52531
US

IV. Provider business mailing address

210 WASHINGTON AVE E
ALBIA IA
52531
US

V. Phone/Fax

Practice location:
  • Phone: 641-932-5517
  • Fax: 641-932-5517
Mailing address:
  • Phone: 641-932-5517
  • Fax: 641-932-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. HEATHER JO HINDMAN
Title or Position: PRESIDENT ADMINISTRATOR
Credential: ADMINISTRATIVE
Phone: 641-932-5517