Provider Demographics
NPI:1891002820
Name:MOWER COUNTY SENIORS, INC.
Entity Type:Organization
Organization Name:MOWER COUNTY SENIORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-433-2370
Mailing Address - Street 1:400 3RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-3449
Mailing Address - Country:US
Mailing Address - Phone:507-434-2188
Mailing Address - Fax:507-434-2479
Practice Address - Street 1:400 3RD AVE NE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-3449
Practice Address - Country:US
Practice Address - Phone:507-434-2188
Practice Address - Fax:507-434-2479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)