Organization Name: | SERVANT RESIDENTIAL CARE INCORPORATED |
NPI Number: | 1902042138 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELVIN L FRANK (PRESIDENT) |
Mailing Address: | 19758 Dayton Hollow Ln Fergus Falls |
State: | MN US |
Postal Code: | 565377621 |
Phone Number: | 2187391046 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | APPLIED |
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. |