Provider Demographics
NPI:1225182496
Name:HORIZONS UNLIMITED OF PAC, INC.
Entity Type:Organization
Organization Name:HORIZONS UNLIMITED OF PAC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-852-2211
Mailing Address - Street 1:3826 460TH AVE
Mailing Address - Street 2:
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-8582
Mailing Address - Country:US
Mailing Address - Phone:712-852-2211
Mailing Address - Fax:712-852-4800
Practice Address - Street 1:3826 460TH AVE
Practice Address - Street 2:
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536-8582
Practice Address - Country:US
Practice Address - Phone:712-852-2211
Practice Address - Fax:712-852-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0127464Medicaid