Healthcare Provider Details

I. General information

NPI: 1306376686
Provider Name (Legal Business Name): R&JS CARING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 CLARK ST N
DEER CREEK MN
56527-5652
US

IV. Provider business mailing address

316 W BIRCH AVE
FERGUS FALLS MN
56537-1309
US

V. Phone/Fax

Practice location:
  • Phone: 320-297-0633
  • Fax: 218-462-6802
Mailing address:
  • Phone: 218-731-4190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2204341
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number353016
License Number StateMN

VIII. Authorized Official

Name: RENEE ANN ROGGENKAMP
Title or Position: OWNER
Credential: RN
Phone: 320-297-0633