Organization Name: | WALKER SENIOR HOUSING CORPORATION III |
NPI Number: | 1114023686 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A. BLAHA (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 131 Monroe St Anoka |
State: | MN US |
Postal Code: | 553032484 |
Phone Number: | 7634224037 |
Fax Number: | 7634228115 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 332179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |