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Deboorah A Gibson
Adult Care Home Facility in Lindstrom, Minnesota
NPI 1780844613

Deboorah A Gibson is an Adult Care Home Facility based in Lindstrom, MN and is specialized in Adult Care Home. Deboorah A Gibson practices in Lindstrom, MN. The NPI Number for Deboorah A Gibson is 1780844613 and holds a License No. 1020292-1-AFC (Minnesota).

The current practice location address for Deboorah A Gibson is 28131 Newberry Trail, Lindstrom, MN and can be reached out via phone at 651-657-3684.

Location: 28131 Newberry Trail, Lindstrom, MN, 55045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780844613
Provider Name
Deboorah A Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
28131 Newberry Trail, Lindstrom, MN, 55045
Phone Number
651-657-3684
Fax Number
Provider Enumeration Date
06/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49-80610 01 MN MEDICA
161648 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
28131 Newberry Trail
City
Lindstrom
State
Minnesota
Zip
55045
Phone Number
651-657-3684
Fax Number
person
Provider Business Mailing Address Details
Address
28131 Newberry Trail
City
Lindstrom
State
Minnesota
Zip
55045
Phone Number
651-657-3684
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.
1020292-1-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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