Augustana Mercy Care Center Llc

NPI 1104143791 - Assisted Living Facility - 310400000X

NPI Details
NPI 1104143791
Enumeration Date 04/23/2010
Last Updated 04/23/2010
Entity Type Healthcare Provider
Active Over 6 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
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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.

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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.