Msocs-Shumway in Faribault - Intermediate Care Facility, Intellectual Disabilities
Msocs-Shumway - NPI 1912070723
Msocs-Shumway is a Intermediate Care Facility, Intellectual Disabilities in Faribault, Minnesota. Msocs-Shumway practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Msocs-Shumway is 1912070723. The last update date is 2008-06-18.
Msocs-Shumway's current location address is 1805 Shumway Ave, Faribault, Minnesota. You can contact this provider via phone number 5073320495. The mailing address for Msocs-Shumway is 1805 Shumway Ave, Faribault, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Msocs-Shumway |
|---|---|
| Address | 1805 Shumway Ave, Faribault, Minnesota |
| Phone Number | 5073320495 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RESIDENTIA |
|---|---|
| Authorized Official Name | Deneen Roger |
| Telephone Number | 6515821857 |
NPI Number Detail
| NPI Number | 1912070723 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 1805 Shumway Ave |
|---|---|
| City | Faribault |
| State | Minnesota (MN) |
| Post Code | 550213102 |
| Phone Number | 5073320495 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74045400 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Msocs-Shumway by the Centers for Medicare & Medicaid Services?
The Msocs-Shumway has been issued the NPI (National Provider Identifier) 1912070723, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Msocs-Shumway is physically located?
The Msocs-Shumway is situated at the following address: 1805 Shumway Ave, Faribault, MN 550213102.
What is Msocs-Shumway's area of expertise and its corresponding taxonomy classification?
The Msocs-Shumway's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Msocs-Shumway receive its 1912070723 assignment from the Centers for Medicare & Medicaid Services?
The Msocs-Shumway was assigned its 1912070723 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Msocs-Shumway's information last updated?
The Msocs-Shumway's information was last updated on 2008-06-18.
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