Baker Park

NPI 1073897641 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073897641
Enumeration Date 09/30/2011
Last Updated 04/23/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JON F JON
Position BUSINESS OFFICE MANAGER
Phone (218) 751-0220
Fax (218) 333-6514
Practice Location
1000 ANNE ST NW
BEMIDJI MN, 56601-5109, US
Phone (218) 751-0220
Fax (218) 333-6514
Business Location
1300 ANNE ST NW
BEMIDJI MN, 56601-5103, US
Phone (218) 333-6514
Fax (218) 333-5566
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 349267
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According to our database, Baker Park NPI is 1073897641, taxonomy code is 310400000X and license number is 349267, license state is located at Minnesota. Baker Park physically located at 1000 Anne St Nw, Bemidji MN, 56601-5109. NPI Number 1033115704 has the healthcare provider type.

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1073897641 NPI number is provided on an as is basis without warranty of any kind. 1073897641 is maintained by the National Plan & Provider Enumeration System. The contents of Baker Park are for informational purposes only.