Provider Demographics
NPI:1336494418
Name:DEAF CAN INC.
Entity Type:Organization
Organization Name:DEAF CAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, LADC, CPRP
Authorized Official - Phone:612-207-6592
Mailing Address - Street 1:408 BIRCHER AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-1007
Mailing Address - Country:US
Mailing Address - Phone:612-270-6592
Mailing Address - Fax:952-405-6748
Practice Address - Street 1:408 BIRCHER AVE
Practice Address - Street 2:
Practice Address - City:SOUTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-1007
Practice Address - Country:US
Practice Address - Phone:612-270-6592
Practice Address - Fax:952-405-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care