Sharon Shofner Adult Foster Care
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brookston, MN
NPI 1699008805 · NPPES record last updated Sep 8, 2009
Key facts
- NPI
- 1699008805
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 201343-3-AFC (MN)
- Legal business name
- SHARON SHOFNER ADULT FOSTER CARE
- Practice address
- 8783 2ND St South
Brookston, MN 55711 - Phone
- (218) 453-1083
- NPI assigned
- Sep 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sharon Chlorince Shofner
- Title
- Care Provider
- Phone
- (218) 453-1083
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 201343-3-AFC | MN | Yes |
Addresses
Primary practice location
8783 2ND St South
Brookston, MN 55711
Mailing address
8783 2ND St South
Brookston, MN 55711
Phone (218) 453-1083
Other providers in Brookston, MN
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- Abby Johnsen
- Jennier Renee Johnson
- Peterson Colonial Homes, Inc.
- Andrew Timothy Shofner
- Stonehaven Assisted Living Inc.
- Transitions Plus, Inc.
All providers in Brookston, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2009. 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.