Healthcare Provider Details

I. General information

NPI: 1932506334
Provider Name (Legal Business Name): SIGOURNEY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S STONE ST
SIGOURNEY IA
52591-1202
US

IV. Provider business mailing address

900 S STONE ST
SIGOURNEY IA
52591-1202
US

V. Phone/Fax

Practice location:
  • Phone: 641-622-2971
  • Fax: 641-622-3165
Mailing address:
  • Phone: 641-622-2971
  • Fax: 641-622-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL SORRELLS
Title or Position: MEMBER
Credential:
Phone: 812-525-1114