# STEVE & BARB JENSEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Home at the Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669847075
- **Authorized official:** BARBARA JENSEN (OWNER)
- **Authorized official phone:** (218) 495-2625

## Contact information

- **Practice address:** 36309 AUGUSTANA DR, BATTLE LAKE, MN 56515-9361
- **Practice address phone:** (218) 495-2625
- **Practice address fax:** (218) 736-4250
- **Mailing address:** 36309 AUGUSTANA DR, BATTLE LAKE, MN 56515-9361
- **Mailing address phone:** (218) 495-2625
- **Mailing address fax:** (218) 736-4250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2015
- **Last updated:** 12/10/2015