| NPI Details | |
|---|---|
| NPI | 1104143791 |
| Enumeration Date | 04/23/2010 |
| Last Updated | 04/23/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | CRAIG CRAIG |
| Position | CHIEF FINANCIAL OFFICER |
| Phone | (218) 485-4481 |
| Fax | |
| Practice Location | |
|---|---|
| 710 S KENWOOD AVE MOOSE LAKE MN, 55767-9405, US |
|
| Phone | (218) 485-4481 |
| Fax | |
| Business Location | |
|---|---|
| 710 S KENWOOD AVE MOOSE LAKE MN, 55767-9405, US |
|
| Phone | (218) 485-4481 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 310400000X |
| License State | |
| License Number | |
| Remove 1104143791 NPI Number | |
According to our database, Augustana Mercy Care Center Llc NPI is 1104143791, taxonomy code is 310400000X Augustana Mercy Care Center Llc physically located at 710 S Kenwood Ave, Moose Lake MN, 55767-9405. NPI Number 1033115704 has the healthcare provider type.
Sponsored links
1104143791 NPI number is provided on an as is basis without warranty of any kind. 1104143791 is maintained by the National Plan & Provider Enumeration System. The contents of Augustana Mercy Care Center Llc are for informational purposes only.
Sponsored links