Divine Providence Community Home
NPI #1538155809 in Sleepy Eye, Minnesota
Provider Information
- NPI Number
- 1538155809
- Entity Type
- Organization
- Organization Name
- Divine Providence Community Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 22, 2005
- Last Updated
- Jan 12, 2012
Practice Location
- Address
- 700 THIRD AVE NW
- City
- Sleepy Eye
- State
- Minnesota
- ZIP Code
- 56085
- Phone
- (507) 794-3011
Authorized Official
- Name
- MRS. JAYNA MARIE GROEBNER, LNHA
- Title
- ADMINISTRATOR
- Phone
- (507) 794-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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