Provider Demographics
NPI:1548467269
Name:HIGHUM, PEGGY
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:HIGHUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 DUNHAM ST
Mailing Address - Street 2:MORNING STAR HOME HEALTH CARE
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007
Mailing Address - Country:US
Mailing Address - Phone:507-373-0201
Mailing Address - Fax:507-373-0201
Practice Address - Street 1:1008 DUNHAM ST
Practice Address - Street 2:MORNING STAR HOME HEALTH CARE
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007
Practice Address - Country:US
Practice Address - Phone:507-373-0201
Practice Address - Fax:507-373-0201
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant