Open Harbors Inc.
Organization Active NPI Respite Care · Zimmerman, MN
NPI 1346425543 · NPPES record last updated Jan 7, 2008
Key facts
- NPI
- 1346425543
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- License
- 10413503AFC (MN)
- Legal business name
- OPEN HARBORS INC.
- Practice address
- 28347 112TH St NW
Zimmerman, MN 55398-4307 - Phone
- (763) 389-5412
- NPI assigned
- Jan 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Margery Ann Vetsch-Peterson, RN
- Title
- President
- Phone
- (763) 389-5412
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 10413503AFC | MN | Yes |
Addresses
Primary practice location
28347 112TH St NW
Zimmerman, MN 55398-4307
Mailing address
28347 112TH St NW
Zimmerman, MN 55398-4307
Phone (763) 389-5412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MN |
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.