| Organization Name: | PAYNESVILLE AREA LIVING AT HOME BLOCK NURSE PROGRAM |
| NPI Number: | 1275846487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | INEZ JONES (DIRECTOR) |
| Mailing Address: | 1105 W Main St Paynesville |
| State: | MN US |
| Postal Code: | 563621000 |
| Phone Number: | 3202435144 |
| Fax Number: | 3202435146 |
| NPI Enumeration Date: | 07/16/2010 |
| NPI Last Update Date: | 07/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 1U-919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |