Organization · Type 2 NPI
Vop South Grove Lodge, LLC
Adult Care Home Facility · Austin, MN
NPI number
1295494110
Active
Practice location
1701 22nd Ave SW
Austin, MN 55912-1798
Fax (507) 434-0041
Mailing address
5101 NE 82nd Ave Ste 200
Vancouver, WA 98662-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1295494110
Vop South Grove Lodge, LLC's National Provider Identifier is 1295494110, issued on Dec 8, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Austin, MN. The record was last updated on Apr 1, 2026.