Provider Demographics
NPI:1942950613
Name:PATRON ADULT DAY SERVICES
Entity Type:Organization
Organization Name:PATRON ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WARNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-345-5736
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-0399
Mailing Address - Country:US
Mailing Address - Phone:320-345-5736
Mailing Address - Fax:
Practice Address - Street 1:6975 SAUKVIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1967
Practice Address - Country:US
Practice Address - Phone:320-345-5736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care