Individual provider · Type 1 NPI
Gaudencio Fuentes Celeste
Adult Care Home Facility · Apple Valley, MN
NPI number
1902268857
Active
Practice location
8674 134th St W
Apple Valley, MN 55124-7234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 9275 (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 1902268857
Gaudencio Fuentes Celeste's National Provider Identifier is 1902268857, issued on Mar 21, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Apple Valley, MN. The record was last updated on Mar 21, 2016.