# REBECCA GROSSKREUTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144690181
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1079084-1-AFC | MN | Yes |

## Other

- **Enumeration date:** 10/02/2015
- **Last updated:** 10/02/2015