PRAIRIE COMMUNITY SERVICES
Intermediate Care Facility, Mental Illness
Morris, Minnesota
Provider NPI: 1285704049
Organization Information:Organization Name: PRAIRIE COMMUNITY SERVICES
Practice Location:
801 NEVADA AVE MORRIS, MN 56267 US
Tel: 320-589-3077 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:
801 NEVADA AVE MORRIS, MN 56267 US
Tel: 320-589-3077 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | MN | 800115-2-RS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
632245000 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin