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Ms. Dawn Kathleen Davis
Adult Care Home Facility in Mora, Minnesota
NPI 1144464504

Dawn Kathleen Davis is an Adult Care Home Facility based in Mora, MN and is specialized in Adult Care Home. Dawn Kathleen Davis practices in Mora, MN. The NPI Number for Dawn Kathleen Davis is 1144464504 and holds a License No. 1054098-1-AFC (Minnesota).

The current practice location address for Dawn Kathleen Davis is 2060 Wren Way, Mora, MN and can be reached out via phone at 320-679-6963.

Location: 2060 Wren Way, Mora, MN, 55051-7702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144464504
Provider Name
Dawn Kathleen Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2060 Wren Way, Mora, MN, 55051-7702
Phone Number
320-679-6963
Fax Number
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2060 Wren Way
City
Mora
State
Minnesota
Zip
55051-7702
Phone Number
320-679-6963
Fax Number
person
Provider Business Mailing Address Details
Address
2060 Wren Way
City
Mora
State
Minnesota
Zip
55051-7702
Phone Number
320-679-6963
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1054098-1-AFC (Minnesota)
Definition
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.
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