Msocs-Swan Lake in Duluth - Intermediate Care Facility, Intellectual Disabilities
Msocs-Swan Lake - NPI 1558434399
Msocs-Swan Lake is a Intermediate Care Facility, Intellectual Disabilities in Duluth, Minnesota. Msocs-Swan Lake practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Msocs-Swan Lake is 1558434399. The last update date is 2020-08-22.
Msocs-Swan Lake's current location address is 1423 Swan Lake Rd, Duluth, Minnesota. You can contact this provider via phone number 2187229449. The mailing address for Msocs-Swan Lake is 1423 Swan Lake Rd, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Msocs-Swan Lake |
|---|---|
| Address | 1423 Swan Lake Rd, Duluth, Minnesota |
| Phone Number | 2187229449 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RESIDENTIA |
|---|---|
| Authorized Official Name | Deneen Roger |
| Telephone Number | 6515821857 |
NPI Number Detail
| NPI Number | 1558434399 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1423 Swan Lake Rd |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558114606 |
| Phone Number | 2187229449 |
| 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. |
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What is the unique 10-digit identification code issued to Msocs-Swan Lake by the Centers for Medicare & Medicaid Services?
The Msocs-Swan Lake has been assigned the NPI (National Provider Identifier) 1558434399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Msocs-Swan Lake is physically located?
The Msocs-Swan Lake is physically situated at the following address: 1423 Swan Lake Rd, Duluth, MN, 558114606.
What is the area of specialization for Msocs-Swan Lake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Msocs-Swan Lake is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
When was the Msocs-Swan Lake's 1558434399 issued?
The Msocs-Swan Lake's 1558434399 was issued on 2006-11-17.
As of what date were the details pertaining to Msocs-Swan Lake last refreshed?
The information related to the Msocs-Swan Lake, including its address, specialty, and other relevant details, was last updated on 2020-08-22.