| Dba: Mrci | |
|
1750 Energy Drive Mankato MN 56001-0328 | |
| (507) 386-5600 | |
| (507) 386-5795 |
| Full Name | Dba: Mrci |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 1750 Energy Drive, Mankato, Minnesota |
| Authorized Official Name and Position | Brian Benshoof (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5073865600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba: Mrci 1750 Energy Drive Po Box 328 Mankato MN 56002-0328 Ph: (507) 386-5600 | Dba: Mrci 1750 Energy Drive Mankato MN 56001-0328 Ph: (507) 386-5600 |
| NPI Number | 1023285954 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023285954 | NPI | - | NPPES |
| 268667800 | Other | MN | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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