IndividualActive
Robert Reisch
NPI 1407303662 · Adult Care Home Facility · Fergus Falls, MN
Provider details
- NPI number
- 1407303662
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- APPLIED (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
19758 Dayton Hollow Ln
Fergus Falls, MN 56537-7621
Phone: (218) 340-1359
Fax: (218) 737-0028
Approximate (ZIP-level) locationGet directions
Mailing address
19758 Dayton Hollow Ln
Fergus Falls, MN 56537-7621
Registry dates
- Enumerated
- 2016-09-06
- Last updated
- 2016-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.