Elders Home Inc

NPI 1356321624 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1356321624
Enumeration Date 01/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CALVIN BRUCE CALVIN
Position ADMINISTRATOR
Phone (218) 385-2005
Fax (218) 385-4170
Practice Location
215 S TOUSLEY AVE
NEW YORK MILLS MN, 56567, US
Phone (218) 385-2005
Fax (218) 385-4170
Business Location
PO BOX 188
NEW YORK MILLS MN, 56567, US
Phone (218) 385-2005
Fax (218) 385-4170
Toxanomy
Taxonomy Code 314000000X
License State Minnesota
License Number 329990
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According to our database, Elders Home Inc NPI is 1356321624, taxonomy code is 314000000X and license number is 329990, license state is located at Minnesota. Elders Home Inc physically located at 215 S Tousley Ave, New York Mills MN, 56567. NPI Number 1033115704 has the healthcare provider type.

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1356321624 NPI number is provided on an as is basis without warranty of any kind. 1356321624 is maintained by the National Plan & Provider Enumeration System. The contents of Elders Home Inc are for informational purposes only.