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Mr. Gaudencio Fuentes Celeste
Adult Care Home Facility in Apple Valley, Minnesota
NPI 1902268857

Gaudencio Fuentes Celeste is an Adult Care Home Facility based in Apple Valley, MN and is specialized in Adult Care Home. Gaudencio Fuentes Celeste practices in Apple Valley, MN. The NPI Number for Gaudencio Fuentes Celeste is 1902268857 and holds a License No. 9275 (Minnesota).

The current practice location address for Gaudencio Fuentes Celeste is 8674 134Th St W, Apple Valley, MN and can be reached out via phone at 952-452-2827. You can also correspond with Gaudencio Fuentes Celeste through the mailing address at 8674 134TH ST W, APPLE VALLEY, MN - 55124-7234 (mailing address contact number: 952-452-2827).

Location: 8674 134Th St W, Apple Valley, MN, 55124-7234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902268857
Provider Name
Gaudencio Fuentes Celeste
Credential
Provider Entity Type
Individual
Gender
Male
Address
8674 134Th St W, Apple Valley, MN, 55124-7234
Phone Number
952-452-2827
Fax Number
Provider Enumeration Date
03/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8674 134Th St W
City
Apple Valley
State
Minnesota
Zip
55124-7234
Phone Number
952-452-2827
Fax Number
person
Provider Business Mailing Address Details
Address
8674 134Th St W
City
Apple Valley
State
Minnesota
Zip
55124-7234
Phone Number
952-452-2827
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.
9275 (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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