Organization Name: | ST. CLOUD SILVER LINING, INC |
NPI Number: | 1144573643 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW DAVID TRELSTAD (OWNER) |
Mailing Address: | 1705 West St. Germain Street St. Cloud |
State: | MN US |
Postal Code: | 56301 |
Phone Number: | 3202301140 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 359812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |