Healthcare Provider Details

I. General information

NPI: 1285707729
Provider Name (Legal Business Name): DA-RU, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 11/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 HIGHWAY 37
EARLING IA
51530-5314
US

IV. Provider business mailing address

736 HIGHWAY 37
EARLING IA
51530-5314
US

V. Phone/Fax

Practice location:
  • Phone: 712-747-3301
  • Fax: 712-747-9002
Mailing address:
  • Phone: 712-747-3301
  • Fax: 712-747-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number830346
License Number StateIA

VIII. Authorized Official

Name: PAT HOFFMAN
Title or Position: OFFICER
Credential:
Phone: 712-747-3301