Provider Demographics
NPI:1609499235
Name:A HOME FOR THE DAY
Entity Type:Organization
Organization Name:A HOME FOR THE DAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:VOSS HABERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-260-5251
Mailing Address - Street 1:24910 COUNTY ROAD 137
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTA
Mailing Address - State:MN
Mailing Address - Zip Code:56301-9707
Mailing Address - Country:US
Mailing Address - Phone:320-260-5251
Mailing Address - Fax:320-251-5396
Practice Address - Street 1:1971 PINE CONE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4618
Practice Address - Country:US
Practice Address - Phone:320-260-5251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care