Traci'S Place, Inc.
Organization Active NPI Adult Care Home Facility · Askov, MN
NPI 1740418375 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1740418375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 1053045-1-WS (MN)
- Legal business name
- TRACI'S PLACE, INC.
- Practice address
- 61816 Banning Line Rd
Askov, MN 55704-4288 - Phone
- (651) 295-8659
- NPI assigned
- Jun 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Traci Lea Fletcher
- Title
- President
- Phone
- (651) 295-8659
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1053045-1-WS | MN | Yes |
Addresses
Primary practice location
61816 Banning Line Rd
Askov, MN 55704-4288
Mailing address
61816 Banning Line Rd
Askov, MN 55704-4288
Phone (651) 295-8659
Other providers in Askov, MN
All providers in Askov, MN · Adult Care Home 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 Jun 22, 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.