Augustana Senior Development Ii

NPI 1154639128 - Assisted Living Facility - 310400000X

NPI Details
NPI 1154639128
Enumeration Date 09/23/2010
Last Updated 09/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CRAIG CRAIG
Position CHIEF FINANCIAL OFFICER
Phone (320) 679-4789
Fax
Practice Location
170 VALHALLA CIRCLE
MORA MN, 55051, US
Phone (320) 679-4789
Fax
Business Location
170 VALHALLA CIRCLE
MORA MN, 55051, US
Phone (320) 679-4789
Fax
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 349304
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According to our database, Augustana Senior Development Ii NPI is 1154639128, taxonomy code is 310400000X and license number is 349304, license state is located at Minnesota. Augustana Senior Development Ii physically located at 170 Valhalla Circle, Mora MN, 55051. NPI Number 1033115704 has the healthcare provider type.

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1154639128 NPI number is provided on an as is basis without warranty of any kind. 1154639128 is maintained by the National Plan & Provider Enumeration System. The contents of Augustana Senior Development Ii are for informational purposes only.