Organization Name: | FOSTER CARE PROVIDERS INC, |
NPI Number: | 1154579571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD E. SALZER (DIRECTOR) |
Mailing Address: | 705 2nd Ave S Waite Park |
State: | MN US |
Postal Code: | 563871638 |
Phone Number: | 3204934337 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2008 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 339805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |