Healthcare Provider Details

I. General information

NPI: 1043435993
Provider Name (Legal Business Name): NEW HORIZONS ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SW SCHOOL ST SUITE 118
ANKENY IA
50023-3000
US

IV. Provider business mailing address

406 SW SCHOOL ST SUITE 118
ANKENY IA
50023-3000
US

V. Phone/Fax

Practice location:
  • Phone: 515-965-1602
  • Fax: 866-389-4256
Mailing address:
  • Phone: 515-965-1602
  • Fax: 866-389-4256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADS018
License Number StateIA

VIII. Authorized Official

Name: VICKI S ENGH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 515-965-1602