Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Adult Day Care |
261QA0600X | |||
Assisted Living Facility |
310400000X | |||
Bus |
347B00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1225049018 |
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| LBN Legal business name | DEER RIVER HEALTHCARE CENTER, INC. | ||||||||||||||||||||||||||||||||||||
| Authorized official | KEVIN BOREN - (CFO) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 08/10/2006 | ||||||||||||||||||||||||||||||||||||
| Last updated | 04/07/2022 - About 4 years ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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