Organization · Type 2 NPI
GJ Destiny Adult Foster Home, LLC
Respite Care · Otsego, MN
NPI number
1609007061
Active
Practice location
14295 82nd St NE
Otsego, MN 55330-6812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Primary | 385H00000X | 1055022 1 AFC (MN) |
Respite Care: Definition to come.
About NPI 1609007061
GJ Destiny Adult Foster Home, LLC's National Provider Identifier is 1609007061, issued on Aug 4, 2009. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Otsego, MN. The record was last updated on Aug 4, 2009.