Individual provider · Type 1 NPI

Robert Allen Reisch

Adult Care Home Facility · Fergus Falls, MN

NPI number 1407303662 Active

Practice location

19758 Dayton Hollow Ln
Fergus Falls, MN 56537-7621

Call (218) 340-1359 Map

Fax (218) 737-0028

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAPPLIED (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.

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About NPI 1407303662

Robert Allen Reisch's National Provider Identifier is 1407303662, issued on Sep 6, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fergus Falls, MN. The record was last updated on Sep 6, 2016.