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DEBOORAH A GIBSON

Adult Care Home

Lindstrom, Minnesota

Provider NPI: 1780844613

Provider Information:
 DEBOORAH A GIBSON 


Practice Location:
28131 NEWBERRY TRAIL  LINDSTROM, MN 55045 US
Tel: 651-657-3684  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
MN1020292-1-AFC

Other Provider Identifiers:

IssuerNumberStateType
MEDICA49-80610MN01
UCARE161648MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS MN - Page 1



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