Provider Demographics
NPI:1285707729
Name:DA-RU, INC.
Entity type:Organization
Organization Name:DA-RU, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-747-3301
Mailing Address - Street 1:736 HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:EARLING
Mailing Address - State:IA
Mailing Address - Zip Code:51530-5314
Mailing Address - Country:US
Mailing Address - Phone:712-747-3301
Mailing Address - Fax:712-747-9002
Practice Address - Street 1:736 HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:EARLING
Practice Address - State:IA
Practice Address - Zip Code:51530-5314
Practice Address - Country:US
Practice Address - Phone:712-747-3301
Practice Address - Fax:712-747-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA830346314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0802249Medicaid
IA0802249Medicaid