- Enrollment id
- O20121226000297
- Enrollment state
- MN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1083959027
- Multiple npi flag
- N
- Ccn
- 241591
- Associate id
- 2163558917
- Organization name
- HORIZON HEALTH INC
- Doing business as name
- HORIZON HEALTH HOSPICE
- Incorporation date
- 1991-08-01
- Incorporation state
- MN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 26814 143RD ST
- City
- PIERZ
- State
- MN
- Zip code
- 563641556