REHOBOTH DISABLED & ELDERLY FOSTER CARE LLC
Adult Care Home
Oronoco, Minnesota
Provider NPI: 1710011234
Organization Information:Organization Name: REHOBOTH DISABLED & ELDERLY FOSTER CARE LLC
Practice Location:
3696 110TH ST NW ORONOCO, MN 55960 US
Tel: 507-319-7444 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3696 110TH ST NW ORONOCO, MN 55960 US
Tel: 507-319-7444 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | MN | 1005701-2-AFC |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ADULT FOSTER CARE | 976472100 | MN | 01 |
ADULT FOSTER CARE | 702654400 | MN | 01 |
ADULT FOSTER CARE | 373487100 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin