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PRAIRIE ADULT CARE INC. NPI 1932474509


NPI Information

NPI: 1932474509
Provider Name: PRAIRIE ADULT CARE, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
16200 BERGER DR
EDEN PRAIRIE, MN
ZIP 55347
Phone: (952) 949-3126
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PRAIRIE ADULT CARE, INC. is an adult day care clinic center in Eden Prairie, MN. PRAIRIE ADULT CARE, INC. NPI is 1932474509. The provider is registered as an organization entity type.

The provider's business location address is:

16200 BERGER DR
EDEN PRAIRIE, MN
ZIP 55347-365
Phone: (952) 949-3126

The provider's authorized official is Kathleen A Evanson .
The authorized official title is President/director and has the following contact phone number (952) 949-3126.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care1062750MINNESOTAYes

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: 4/28/2024

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