Provider Demographics
NPI:1912261082
Name:AMERICARE LODGES INC.
Entity Type:Organization
Organization Name:AMERICARE LODGES INC.
Other - Org Name:LAUREL LODGE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BOOKKEEPER - OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:HELENE
Authorized Official - Last Name:STEFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-566-2088
Mailing Address - Street 1:7018 74TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REMER
Mailing Address - State:MN
Mailing Address - Zip Code:56672-4533
Mailing Address - Country:US
Mailing Address - Phone:218-566-2088
Mailing Address - Fax:218-566-3364
Practice Address - Street 1:7018 74TH AVE NE
Practice Address - Street 2:
Practice Address - City:REMER
Practice Address - State:MN
Practice Address - Zip Code:56672-4533
Practice Address - Country:US
Practice Address - Phone:218-566-2088
Practice Address - Fax:218-566-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare