REM HENNEPIN INC
Intermediate Care Facility, Mentally Retarded
Golden Valley, Minnesota
Provider NPI: 1023193612
Organization Information:Organization Name: REM HENNEPIN INC
Practice Location:
3239 REGENT AVE N GOLDEN VALLEY, MN 55422 US
Tel: 952-922-6776 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:
3239 REGENT AVE N GOLDEN VALLEY, MN 55422 US
Tel: 952-922-6776 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 | 10101683RS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
223623100 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin