MR. BRUCE A CHRISTOPHERSON NPI 1275794661

NPI Information

NPI: 1275794661
Provider Name: MR. BRUCE A CHRISTOPHERSON
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
2209 CRABTREE BLVD
INTERNATIONAL FALLS, MN
ZIP 56649
Phone: (218) 285-9297
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MR. Bruce A Christopherson is an adult care home custodial care facility in International Falls, MN. The provider is 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. MR. Bruce A Christopherson NPI is 1275794661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2209 CRABTREE BLVD
INTERNATIONAL FALLS, MN
ZIP 56649-174
Phone: (218) 285-9297

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	1051213-1-AFC	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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