JONES HARRISON RESIDENCE
Assisted Living Facility
Minneapolis, Minnesota
Provider NPI: 1699762195
Organization Information:Organization Name: JONES HARRISON RESIDENCE
Practice Location:
3700 CEDAR LAKE AVE MINNEAPOLIS, MN 55416 US
Tel: 612-920-2030 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:
3700 CEDAR LAKE AVE MINNEAPOLIS, MN 55416 US
Tel: 612-920-2030 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | L14827307 |
X | 251E00000X | Agencies Home Health | MN | 329866 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 328173 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 9626TO | 01 | |
MEDICA | 7122738 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin