CINDY GRANGROTH
NPI 1336469774
Respite Care in Waverly, MN
Active since June 08, 2010
About Cindy Grangroth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CINDY GRANGROTH (NPI 1336469774) is an individual respite care provider in Waverly, Minnesota, licensed in Minnesota (1016003-3-AFC) and active in the NPI registry since June 2010.
NPPES Registry Identity
NPI1336469774
Entity TypeIndividualFemale
Primary Taxonomy385H00000X
Provider Legal NameCINDY GRANGROTH
Location Address5244 25TH ST SWWaverly, MN 55390-5025
Mailing Address5244 25th St SwWaverly, MN 55390-5025 · (763) 658-7026
Phone(763) 658-7026
Sole ProprietorYes
Enumeration DateJune 8, 2010
✔ NPI 1336469774 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License✔ Licensed in MN · 1016003-3-AFC
5244 25TH ST SW, Waverly, MN 55390
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336469774, enumerated as an "individual" on June 08, 2010.
The provider is located at 5244 25TH ST SW WAVERLY, MN 55390 and the phone number is (763) 658-7026.
Respite Care with taxonomy code 385H00000X.
