Provider Demographics
NPI:1831356229
Name:WELSH ADULT FOSTER CARE
Entity type:Organization
Organization Name:WELSH ADULT FOSTER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AISLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-729-8446
Mailing Address - Street 1:5780 HAGBERG RD
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-1309
Mailing Address - Country:US
Mailing Address - Phone:218-729-8446
Mailing Address - Fax:218-729-8446
Practice Address - Street 1:5780 HAGBERG RD
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-1309
Practice Address - Country:US
Practice Address - Phone:218-729-8446
Practice Address - Fax:218-729-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1022010-3-AFC311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home