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MARY T ASSOCIATES INC

Intermediate Care Facility, Mentally Retarded

Coon Rapids, Minnesota

Provider NPI: 1770643694

Organization Information:
Organization Name:  MARY T ASSOCIATES INC


Practice Location:
1555 118TH LN NW  COON RAPIDS, MN 55448 US
Tel: 763-862-5436  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MN801456
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MN801457
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MN801459
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MN801458
Y251E00000XAgencies
Home Health
MN331577

Other Provider Identifiers:

IssuerNumberStateType
HEALTH PARTNERS102207MN01
U CARE FC104337FM01
972525300MN05
U CARE HHA131415MN01
U CARE PCA136968MN01
472845900MN05
BCBS9394ABMN01
672745000MN05
612745200MN05
642845200MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS MN - Page 1



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