Provider Demographics
NPI:1518108984
Name:RURAL LIVING HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:RURAL LIVING HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:NEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-827-2322
Mailing Address - Street 1:16 MULBERRY LN
Mailing Address - Street 2:P.O. BOX 208
Mailing Address - City:BABBITT
Mailing Address - State:MN
Mailing Address - Zip Code:55706-1124
Mailing Address - Country:US
Mailing Address - Phone:218-827-2322
Mailing Address - Fax:218-827-2587
Practice Address - Street 1:16 MULBERRY LN
Practice Address - Street 2:
Practice Address - City:BABBITT
Practice Address - State:MN
Practice Address - Zip Code:55706-1124
Practice Address - Country:US
Practice Address - Phone:218-827-2322
Practice Address - Fax:218-827-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health