Organization Name: | PRAIRIE COMMUNITY SERVICES |
NPI Number: | 1144390816 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY WAGNER (CFO) |
Mailing Address: | 801 Nevada Ave Morris |
State: | MN US |
Postal Code: | 562671865 |
Phone Number: | 3205893077 |
Fax Number: | 3205892543 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310500000X |
License Number: | 801779-1-RS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |