Organization
AFTENRO SOCIETY HOME FOR THE AGED
Active
Other names
Aftenro Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA JOHNSON (BOARD PRESIDENT)
(218) 728-6600
Entity
Organization
Contact information
Practice address
510 W COLLEGE ST, DULUTH, MN 55811-4902
(218) 728-6600
(218) 728-5452
Mailing address
510 W COLLEGE ST, DULUTH, MN 55811-4902
(218) 728-6600
(218) 728-5452
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
327386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140027
FIRST PLAN OF MINNESOTA
MN
01
—
71-80491
MEDICA
MN
01
—
NH0477
U-CARE OF MINNESOTA
MN
Enumeration date
11/17/2005
Last updated
08/22/2020
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