Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMSOCS-MOOSE LAKE
Intermediate Care Facility, Mentally Retarded
Moose Lake, Minnesota
Provider NPI: 1205909991
Organization Information:Organization Name: MSOCS-MOOSE LAKE
Practice Location:
305 4TH ST MOOSE LAKE, MN 55767 US
Tel: 218-485-4634 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:
305 4TH ST MOOSE LAKE, MN 55767 US
Tel: 218-485-4634 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 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 303745200 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
