Healthcare Provider Details
I. General information
NPI: 1134271422
Provider Name (Legal Business Name): STONEHILL FRANCISCAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3485 WINDSOR AVE
DUBUQUE IA
52001-1329
US
IV. Provider business mailing address
3485 WINDSOR AVE
DUBUQUE IA
52001-1329
US
V. Phone/Fax
- Phone: 563-557-0849
- Fax: 563-584-9282
- Phone: 563-557-0849
- Fax: 563-584-9282
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | AADS505 |
| License Number State | IA |
VIII. Authorized Official
Name:
JERI
GRABBERT
Title or Position: FINANCE DIRECTOR
Credential: CPA
Phone: 563-557-0849