- Enrollment id
- O20080225000392
- Enrollment state
- IA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1306962063
- Multiple npi flag
- N
- Ccn
- 161525
- 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