Provider Demographics
NPI:1306845706
Name:HEWMAKS INC
Entity Type:Organization
Organization Name:HEWMAKS INC
Other - Org Name:SPRINGSIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:507-212-0073
Mailing Address - Street 1:600 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:MN
Mailing Address - Zip Code:56175-1674
Mailing Address - Country:US
Mailing Address - Phone:507-212-0073
Mailing Address - Fax:507-212-0074
Practice Address - Street 1:600 SPRING ST
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:MN
Practice Address - Zip Code:56175-1674
Practice Address - Country:US
Practice Address - Phone:507-212-0073
Practice Address - Fax:507-212-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN327777310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility