Provider Demographics
NPI:1497960793
Name:KANGAS, SHERRI ANN
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:ANN
Last Name:KANGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3923 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:IRON
Mailing Address - State:MN
Mailing Address - Zip Code:55751-8200
Mailing Address - Country:US
Mailing Address - Phone:218-744-1593
Mailing Address - Fax:
Practice Address - Street 1:3923 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:IRON
Practice Address - State:MN
Practice Address - Zip Code:55751-8200
Practice Address - Country:US
Practice Address - Phone:218-744-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home