Deboorah A Gibson in Lindstrom - Adult Care Home

Deboorah A Gibson - NPI 1780844613

Deboorah A Gibson is a Adult Care Home in Lindstrom, Minnesota. Deboorah A Gibson practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Deboorah A Gibson is 1780844613. The last update date is 2008-06-13.

Deboorah A Gibson's current location address is 28131 Newberry Trail, Lindstrom, Minnesota. You can contact this provider via phone number 6516573684. The mailing address for Deboorah A Gibson is 28131 Newberry Trail, Lindstrom, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Deboorah A Gibson
Address 28131 Newberry Trail, Lindstrom, Minnesota
Phone Number 6516573684
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1780844613
Provider Enumeration Date 2008-06-13
Last Updated Date 2008-06-13

Provider Mailing Address Detail

Address 28131 Newberry Trail
City Lindstrom
State Minnesota (MN)
Post Code 55045
Phone Number 6516573684
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No 1020292-1-AF
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 en

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49-80610 MN MEDICA
161648 MN UCARE

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FAQs about Deboorah A Gibson

What is the unique provider identifier assigned to Deboorah A Gibson?

The Deboorah A Gibson has been issued the NPI (National Provider Identifier) 1780844613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Deboorah A Gibson's facilities are geographically located?

The facilities of Deboorah A Gibson are physically situated at the following location: 28131 Newberry Trail, Lindstrom, MN, 55045.

What is Deboorah A Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Deboorah A Gibson is Adult Care Home, and the taxonomy classification code that categorizes this area of expertise is 311Za0620X.

When did the Deboorah A Gibson receive its 1780844613?

The Deboorah A Gibson was issued its 1780844613 on 2008-06-13, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Deboorah A Gibson most recently updated or revised?

The information pertaining to Deboorah A Gibson, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-13.

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