1376272088 TAMERNIC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- TAMERNIC
- Enumeration Date
- June 8, 2022
- Last Update
- August 19, 2022
- Authorized Official
- NICHOLAS JERYL GOEDEL
CEO
Phone: (763) 607-1120
Practice Location
- Address
- 270 W MILKIWAY AVE
LAKE LILLIAN, MN 56253 - Phone
- (763) 607-1120
Mailing Address
- Address
- 270 W MILKIWAY AVE
LAKE LILLIAN, MN 56253 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Residential Treatment Facility, Physical Disabilities | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110595 | 01 | MN | 245D LICENSE |
| 1112662 | 01 | MN | ADULT FOSTER CARE LICENSE |
Frequently Asked Questions
What is TAMERNIC's NPI number?
TAMERNIC's NPI number is 1376272088.
Which doctor has NPI number 1376272088?
The doctor with NPI number 1376272088 is TAMERNIC.
What is TAMERNIC's practice address?
TAMERNIC's practice address is 270 W MILKIWAY AVE, LAKE LILLIAN, MN, 56253.
Which doctor practices at 270 W MILKIWAY AVE, LAKE LILLIAN, MN, 56253?
TAMERNIC practices at 270 W MILKIWAY AVE, LAKE LILLIAN, MN, 56253.
What is TAMERNIC's phone number?
TAMERNIC's phone number is (763) 607-1120.
Who is (763) 607-1120?
(763) 607-1120 is the phone number for TAMERNIC.
What is TAMERNIC's specialty?
TAMERNIC's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is TAMERNIC?
TAMERNIC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is TAMERNIC a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, TAMERNIC is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is TAMERNIC still practicing?
Yes, TAMERNIC is currently practicing.
Is TAMERNIC accepting new patients?
TAMERNIC may be accepting new patients. Please call their office at (763) 607-1120 to inquire about availability.
Is NPI 1376272088 still active?
Yes, NPI 1376272088 is currently active.
Where does TAMERNIC practice?
TAMERNIC practices in LAKE LILLIAN, MN.