| Organization Name: | CENTRAL MINNESOTA HOME CARE, INC. |
| NPI Number: | 1942440441 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA LIVINGSTON PETERSON (ADMINISTRATOR/OWNER) |
| Mailing Address: | 22413 State Highway 6 200 Deerwood |
| State: | MN US |
| Postal Code: | 564446245 |
| Phone Number: | 2185465000 |
| Fax Number: | 2185465033 |
| NPI Enumeration Date: | 02/24/2009 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 342906 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |