Organization Name: | COUNTRY MEADOWS OF MILACA, INC. |
NPI Number: | 1124103569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL MICKELSON (CORPORATE ACCOUNTS RECEIVABLE MGR) |
Mailing Address: | 740 2nd St. Se Milaca |
State: | MN US |
Postal Code: | 563530157 |
Phone Number: | 3209832185 |
Fax Number: | 3209832190 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 332815 |
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. |