Organization Name: | REM SOUTHWEST SERVICES, INC. |
NPI Number: | 1316240518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAT MASYGA (STATE DIRECTOR) |
Mailing Address: | 909 Ring Ave N Canby |
State: | MN US |
Postal Code: | 562201071 |
Phone Number: | 9529226776 |
Fax Number: | 9529226885 |
NPI Enumeration Date: | 12/09/2010 |
NPI Last Update Date: | 12/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 348367 |
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. |