Doctor Name: | MR. KIRK RICHARD LINDELL |
NPI Number: | 1649693466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 10473784AFC |
Business Practice Address: | 11955 Lake Blvd Lindstrom, MN - 55045 |
Business Phone Number: | 6512576293 |
Business Fax Number: | 6512576293 |
Mailing Address: | 11955 Lake Blvd, LINDSTROM |
State: | MN |
Postal Code: | 55045 |
Phone Number: | 6512576293 |
Fax Number: | 6512576293 |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 10473784AFC |
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. |