- Enrollment id
- O20080225000395
- Enrollment state
- IA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871642223
- Multiple npi flag
- N
- Ccn
- 167167
- Associate id
- 6800707100
- Organization name
- SANFORD HEALTH NETWORK
- Doing business as name
- SANFORD HOME HEALTH & HOSPICE SHELDON
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 118 N 7TH AVE
- City
- SHELDON
- State
- IA
- Zip code
- 512011235