Organization Name: | PENNY LANE HOMES |
NPI Number: | 1396061297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY DALE FENSKE (DIRECTOR) |
Mailing Address: | 1285 70th St W Inver Grove Heights |
State: | MN US |
Postal Code: | 550772305 |
Phone Number: | 6514971717 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 1054038-2-AFC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |