ROBERT L BENTON

PRIOR LAKE, MN
NPI1164930558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: MN  pca55519820160831)
Enumeration Date2018-01-19
Last Update Date2018-01-19
Business Address
ROBERT L BENTON
5119 GATEWAY ST SE UNIT 304
PRIOR LAKE, MN 55372-5537
Phone number: 612-638-8311
Mailing Address
ROBERT L BENTON
5119 GATEWAY ST SE UNIT 304
PRIOR LAKE, MN 55372-2167
Phone number: 612-638-8311