Provider Demographics
NPI:1962733493
Name:SHARON'S SENIOR SERVICES INC
Entity type:Organization
Organization Name:SHARON'S SENIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/TREASURER/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VONDERHARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-759-2153
Mailing Address - Street 1:1441 ROSEWOOD LN SE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-1264
Mailing Address - Country:US
Mailing Address - Phone:320-759-2153
Mailing Address - Fax:320-763-4874
Practice Address - Street 1:1441 ROSEWOOD LANE SE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308
Practice Address - Country:US
Practice Address - Phone:320-759-2153
Practice Address - Fax:320-763-4874
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARON'S SENIOR SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNHFID-23562 F310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHFID-23562OtherCLASS F HOME CARE PROVIDER