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Colby Lake Care Home, Inc.
Adult Care Home Facility in Woodbury, Minnesota
NPI 1396980017

Colby Lake Care Home, Inc. is an Adult Care Home Facility based in Woodbury, MN and is specialized in Adult Care Home. Colby Lake Care Home, Inc. practices in Woodbury, MN. The NPI Number for Colby Lake Care Home, Inc. is 1396980017 and holds a License No. 1047414-2-AFC (Minnesota).

The current practice location address for Colby Lake Care Home, Inc. is 9377 Newcastle Rd, Woodbury, MN and can be reached out via phone at 651-230-5088.

Location: 9377 Newcastle Rd, Woodbury, MN, 55125-3717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396980017
Provider Name
Colby Lake Care Home, Inc.
Credential
Provider Entity Type
Organization
Address
9377 Newcastle Rd, Woodbury, MN, 55125-3717
Phone Number
651-230-5088
Fax Number
Provider Enumeration Date
12/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A814673100 05 MN
institution
Provider Business Practice Location Address Details
Address
9377 Newcastle Rd
City
Woodbury
State
Minnesota
Zip
55125-3717
Phone Number
651-230-5088
Fax Number
person
Provider Business Mailing Address Details
Address
9377 Newcastle Rd
City
Woodbury
State
Minnesota
Zip
55125-3717
Phone Number
651-230-5088
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.
1047414-2-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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