DAKOTAS ADULTS INC
Intermediate Care Facility, Mentally Retarded
Mendota Heights, Minnesota
Provider NPI: 1275696841
Organization Information:Organization Name: DAKOTAS ADULTS INC
Practice Location:
2031 VICTORIA RD S MENDOTA HEIGHTS, MN 55118 US
Tel: 651-688-8808 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:
2031 VICTORIA RD S MENDOTA HEIGHTS, MN 55118 US
Tel: 651-688-8808 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | MN | 800613-1-RS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
800613-1-RS | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin