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NPI Code Detail

MEDICARE: GOOD NEIGHBOR RESOURCES, INC.

MEDICARE: GOOD NEIGHBOR RESOURCES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyMN

General Provider Information

NPI Number : 1730186487
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD NEIGHBOR RESOURCES, INC.
Provider Business Mailing Address
First Line : PO BOX 481
Second Line :
City : BRAINERD
State : MN
Zip : 56401-0481
Country : US
Telephone Number : 218-829-9238
Fax Number : 218-829-2144
Provider Business Practice Location Address
First Line : 14387 EDGEWOOD DR
Second Line :
City : BAXTER
State : MN
Zip : 56425-8460
Country : US
Telephone Number : 218-829-9238
Fax Number : 218-829-2144
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DONNA BZDOK
Credential : CPA
Telephone Number : 218-829-9238
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/22/2020

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Directions to “GOOD NEIGHBOR RESOURCES, INC. ” Practice Location

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