Provider Demographics
NPI:1629212642
Name:D&A INC. OF GREATER MN
Entity Type:Organization
Organization Name:D&A INC. OF GREATER MN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:GIESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:218-326-2320
Mailing Address - Street 1:17932 DANSON RD
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-5709
Mailing Address - Country:US
Mailing Address - Phone:218-326-2320
Mailing Address - Fax:
Practice Address - Street 1:22564 HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MN
Practice Address - Zip Code:55721-2153
Practice Address - Country:US
Practice Address - Phone:218-259-9148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility