Doctor Name: | MRS. BETSY SAHLSTROM |
NPI Number: | 1639337652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 1013845-2-CFC |
Business Practice Address: | 10818 280th St Onamia, MN - 563592885 |
Business Phone Number: | 3205325876 |
Business Fax Number: | |
Mailing Address: | 10818 280th St, ONAMIA |
State: | MN |
Postal Code: | 563592885 |
Phone Number: | 3205325876 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 1013845-2-CFC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |