Provider Demographics
NPI:1366696734
Name:SIGNE AND OLIVIAS
Entity type:Organization
Organization Name:SIGNE AND OLIVIAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-679-5192
Mailing Address - Street 1:1545 HARBOUR ST.
Mailing Address - Street 2:
Mailing Address - City:OGILVIE
Mailing Address - State:MN
Mailing Address - Zip Code:56358
Mailing Address - Country:US
Mailing Address - Phone:320-272-0115
Mailing Address - Fax:320-679-4874
Practice Address - Street 1:1545 HARBOR ST.
Practice Address - Street 2:
Practice Address - City:OGILVIE
Practice Address - State:MN
Practice Address - Zip Code:56358
Practice Address - Country:US
Practice Address - Phone:320-679-5192
Practice Address - Fax:320-679-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility