Provider Demographics
NPI:1558047274
Name:HALLEM INDUSTRIES LLC.
Entity Type:Organization
Organization Name:HALLEM INDUSTRIES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-321-0197
Mailing Address - Street 1:949 S BLAINE AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-2861
Mailing Address - Country:US
Mailing Address - Phone:605-321-0197
Mailing Address - Fax:
Practice Address - Street 1:949 S BLAINE AVE APT 8
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-2861
Practice Address - Country:US
Practice Address - Phone:605-321-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care