Provider Demographics
NPI:1679600670
Name:FOLEY AREA CARE A LIVING AT HOME BLOCK NURSE PROGRAM
Entity type:Organization
Organization Name:FOLEY AREA CARE A LIVING AT HOME BLOCK NURSE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHARI
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MERSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-968-7848
Mailing Address - Street 1:251 4TH AVE N PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329
Mailing Address - Country:US
Mailing Address - Phone:320-968-7848
Mailing Address - Fax:320-986-7702
Practice Address - Street 1:251 4TH AVE N
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329
Practice Address - Country:US
Practice Address - Phone:320-968-7848
Practice Address - Fax:320-968-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable