Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT L BENTON
Active Sole ProprietorROBERT L BENTON is a Home Health Aide healthcare provider located in PRIOR LAKE, Minnesota. NPI 1164930558 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · PRIOR LAKE, MN
Registration Details
- NPI Number
- 1164930558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2018 (8.5975969980275 yrs)
- Last Updated
- Jan 19, 2018
- License
-
PCA55519820160831 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5119 GATEWAY ST SE UNIT 304PRIOR LAKE, MN, 553725537Browse MN providers · Browse ZIP 55372
- Phone
- 6126388311
- Fax
- 6126388311
- Primary Specialty
-
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.