Peterson Colonial Homes, Inc. in Brookston - Assisted Living, Mental Illness
Peterson Colonial Homes, Inc. - NPI 1104037985
Peterson Colonial Homes, Inc. is a Assisted Living, Mental Illness in Brookston, Minnesota. Peterson Colonial Homes, Inc. practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Peterson Colonial Homes, Inc. is 1104037985. The last update date is 2020-08-22.
Peterson Colonial Homes, Inc.'s current location address is Po Box 350, Brookston, Minnesota. You can contact this provider via phone number 2188780642 and fax number 2188782978. The mailing address for Peterson Colonial Homes, Inc. is Po Box 350, Brookston, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peterson Colonial Homes, Inc. |
|---|---|
| Address | Po Box 350, Brookston, Minnesota |
| Phone Number | 2188780642 |
| Fax Number | 2188782978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Schraw Melvin Duane |
| Telephone Number | 2188780642 |
NPI Number Detail
| NPI Number | 1104037985 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 350 |
|---|---|
| City | Brookston |
| State | Minnesota (MN) |
| Post Code | 557110350 |
| Phone Number | 2188780642 |
| Fax Number | 2188782978 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | 21 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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What is the unique 10-digit identification code issued to Peterson Colonial Homes, Inc. by the Centers for Medicare & Medicaid Services?
The Peterson Colonial Homes, Inc. has been assigned the NPI (National Provider Identifier) 1104037985 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Peterson Colonial Homes, Inc.'s physical address?
The Peterson Colonial Homes, Inc. is physically located at Po Box 350, in the city of Brookston, MN, with the postal code 557110350.
What is Peterson Colonial Homes, Inc.'s area of expertise and its corresponding taxonomy classification?
The Peterson Colonial Homes, Inc.'s field of specialization is Assisted Living, Mental Illness, and it falls under the taxonomy code 3104A0625X, which categorizes healthcare providers based on their areas of practice.
On what date did the Peterson Colonial Homes, Inc. receive the assignment of its 1104037985 from the Centers for Medicare & Medicaid Services?
The Peterson Colonial Homes, Inc. was issued its 1104037985 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information regarding Peterson Colonial Homes, Inc. most recently updated?
The details pertaining to the Peterson Colonial Homes, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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