Provider Demographics
NPI:1003427477
Name:IN MY FATHER'S HOUSE
Entity Type:Organization
Organization Name:IN MY FATHER'S HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA DEBORAH
Authorized Official - Middle Name:ASUNCION
Authorized Official - Last Name:SOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-636-3149
Mailing Address - Street 1:3096 SNELLING AVE N
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1659
Mailing Address - Country:US
Mailing Address - Phone:651-636-3149
Mailing Address - Fax:
Practice Address - Street 1:3096 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1659
Practice Address - Country:US
Practice Address - Phone:651-636-3149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility