Gj Destiny Adult Foster Home, LLC

NPI #1609007061 in Otsego, Minnesota

Provider Information

NPI Number: 1609007061
Entity Type: Organization
Organization Name: Gj Destiny Adult Foster Home, LLC
Primary Specialty: Respite Care
Enumeration Date: Aug 4, 2009
Last Updated: Aug 4, 2009

Practice Location

Address: 14295 82ND ST NE
City: Otsego
State: Minnesota
ZIP Code: 55330-6812
Phone: (320) 692-4790

Authorized Official

Name: MS. VIRGINIA ANN PUFAHL
Title: OWNER/DIRECTOR
Phone: (320) 692-4790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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