Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareTAMARAC
Assisted Living Facility
Stephen, Minnesota
Provider NPI: 1053378281
Organization Information:Organization Name: TAMARAC
Practice Location:
900 LINCOLN AVENUE STEPHEN, MN 56757 US
Tel: 218-478-2850 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:
900 LINCOLN AVENUE STEPHEN, MN 56757 US
Tel: 218-478-2850 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 329663 |
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ALHCP | 329663 | MN | 01 |
| 048165300 | MN | 05 | |
| HWS | 329766 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin