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General NPI Number Information
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NPI Number | 1427186519
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Entity Type | Organization
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Legal Business Name | RUTH HOMES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1306 LINCOLN LN
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City | HASTINGS
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State | MN
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Zip | 55033-1068
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Country | US
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Telephone | 651-437-4312
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Fax | 651-437-6306
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Provider Business Mailing Address
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Address Line | 1417 3RD ST E
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City | HASTINGS
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State | MN
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Zip | 55033-1416
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Country | US
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Telephone | 651-437-9204
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Fax | 651-437-0265
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Authorized Official
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Title or Position | DIRECTOR OWNER OPERATOR
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Name | JANE CAROLINE HAUSMAN
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Credential |
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Telephone | 651-437-9204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | CLASS F HOMECARE PRO
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | HOUSING WITH SERVICE
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License Number State | MN
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