Stoneridge

LBN: Jacy, Llc
Stoneridge is an health care organization with primary practice located at 616 Emmas Dr Se , Cold Spring MN 56320-1454. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Jacy, Llc can be contacted via phone (320) 685-4578, or through Wilson, Carmen Marie via phone (320) 255-9530.

Contact Information

Primary practice address
616 Emmas Dr Se Cold Spring MN 56320-1454
Phone: (320) 685-4578
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Carmen Marie
Phone: (320) 255-9530

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 1043554-2-AFC Minnesota

Profile Details

NPI number 1093927998
LBN Legal business name Jacy, Llc
DBA Doing business as Stoneridge
Authorized official Wilson, Carmen Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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