Healthcare Provider Details

I. General information

NPI: 1861563348
Provider Name (Legal Business Name): HORIZON HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E. HIGHWAY 212
RIDGEVIEW SD
57652-0300
US

IV. Provider business mailing address

PO BOX 97
ISABEL SD
57633-0097
US

V. Phone/Fax

Practice location:
  • Phone: 605-733-2290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number
License Number StateSD

VIII. Authorized Official

Name: ROSEMARY JENSEN
Title or Position: INS BILLING ADMIN
Credential:
Phone: 605-539-9836