Individual provider · Type 1 NPI
Deboorah A. Gibson
Adult Care Home Facility · Lindstrom, MN
NPI number
1780844613
Active
Practice location
28131 Newberry Trail
Lindstrom, MN 55045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1020292-1-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 1780844613
Deboorah A. Gibson's National Provider Identifier is 1780844613, issued on Jun 13, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lindstrom, MN. The record was last updated on Jun 13, 2008.