IndividualActive
Jamie Larson, 245D PROVIDER
NPI 1740135821 · Adult Care Home Facility · Farmington, MN
Provider details
- NPI number
- 1740135821
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Credential
- 245D PROVIDER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1130763 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5994 188th St W
Farmington, MN 55024-7065
Phone: (651) 341-4195
Approximate (ZIP-level) locationGet directions
Mailing address
5994 188th St W
Farmington, MN 55024-7065
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.