Sharon Shofner Adult Foster Care

NPI #1699008805 in Brookston, Minnesota

Provider Information

NPI Number: 1699008805
Entity Type: Organization
Organization Name: Sharon Shofner Adult Foster Care
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 8, 2009
Last Updated: Sep 8, 2009

Practice Location

Address: 8783 2ND ST SOUTH
City: Brookston
State: Minnesota
ZIP Code: 55711
Phone: (218) 453-1083

Authorized Official

Name: MRS. SHARON CHLORINCE SHOFNER
Title: CARE PROVIDER
Phone: (218) 453-1083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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