Organization · Type 2 NPI
Colby Lake Care Home, Inc.
Adult Care Home Facility · Woodbury, MN
NPI number
1396980017
Active
Practice location
9377 Newcastle Rd
Woodbury, MN 55125-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1047414-2-AFC (MN) |
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 1396980017
Colby Lake Care Home, Inc.'s National Provider Identifier is 1396980017, issued on Dec 9, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Woodbury, MN. The record was last updated on Dec 9, 2008.