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Contact Information

AFTENRO SOCIETY HOME FOR THE AGED
510 W COLLEGE ST
DULUTH, MN55811-4902
 Phone: 218-728-6600
 Fax: 218-728-5452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AFTENRO SOCIETY HOME FOR THE AGED

NPI # 1932181765
LBN Legal business name AFTENRO SOCIETY HOME FOR THE AGED
Authorized official VIRGINIA JOHNSON - (BOARD PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 327386
MN Other 140027 FIRST PLAN OF MINNESOTA
MN Other 71-80491 MEDICA
MN Other NH0477 U-CARE OF MINNESOTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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