institution
Vop South Grove Lodge, Llc
Adult Care Home Facility in Austin, Minnesota
NPI 1295494110

Vop South Grove Lodge, Llc is an Adult Care Home Facility based in Vancouver, MN and is specialized in Adult Care Home. Vop South Grove Lodge, Llc practices in Austin, MN. The NPI Number for Vop South Grove Lodge, Llc is 1295494110 and holds a License No. (Minnesota).

The current practice location address for Vop South Grove Lodge, Llc is 1701 22Nd Ave Sw, Austin, MN and can be reached out via phone at 507-396-4960 and via fax at 507-434-0041.

Location: 1701 22Nd Ave Sw, Austin, MN, 98662-6343
institution
Provider Profile Details
NPI Number
1295494110
Provider Name
Vop South Grove Lodge, Llc
Credential
Provider Entity Type
Organization
Address
1701 22Nd Ave Sw, Austin, MN, 98662-6343
Phone Number
507-396-4960
Fax Number
507-434-0041
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
404147 01 MN MINNESOTA DEPARTMENT OF HEALTH (MDH) - ELDERLY WAIVER
institution
Provider Business Practice Location Address Details
Address
1701 22Nd Ave Sw
City
State
Zip
55912-1798
Phone Number
507-396-4960
Fax Number
507-434-0041
person
Provider Business Mailing Address Details
Address
1701 22Nd Ave Sw
City
State
Zip
55912-1798
Phone Number
507-396-4960
Fax Number
507-434-0041
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
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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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