Robert L Benton
Robert L Benton is a Home Health Aide in Prior Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2018
Practice location Address checks out
5119 Gateway St SE Unit 304Prior Lake, MN 55372-5537
Phone: (612) 638-8311
Fax: (612) 638-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence PCA55519820160831 (MN) |
|---|
Record details
| NPI number | 1164930558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2018 |
| Last updated in NPPES | January 19, 2018 |
| Mailing address | 5119 Gateway St Se Unit 304, Prior Lake, MN 55372-2167 |