Healthcare Provider Details

I. General information

NPI: 1912261082
Provider Name (Legal Business Name): AMERICARE LODGES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 07/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7018 74TH AVE NE
REMER MN
56672-4533
US

IV. Provider business mailing address

7018 74TH AVE NE
REMER MN
56672-4533
US

V. Phone/Fax

Practice location:
  • Phone: 218-566-2088
  • Fax: 218-566-3364
Mailing address:
  • Phone: 218-566-2088
  • Fax: 218-566-3364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateMN

VIII. Authorized Official

Name: MRS. NANCY HELENE STEFAN
Title or Position: BOOKKEEPER - OWNER
Credential:
Phone: 218-566-2088