Faribault Health Care Llc

NPI 1710970942 - Assisted Living Facility - 310400000X

NPI Details
NPI 1710970942
Enumeration Date 08/23/2005
Last Updated 01/28/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRADLEY ROBERT BRADLEY
Position ADMINISTRATOR
Phone (507) 332-5100
Fax (507) 332-5188
Practice Location
500 1ST ST SE
FARIBAULT MN, 55021-6346, US
Phone (507) 332-5100
Fax (507) 332-5188
Business Location
500 1ST ST SE
FARIBAULT MN, 55021-6346, US
Phone (507) 332-5100
Fax (507) 332-5188
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 329214
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According to our database, Faribault Health Care Llc NPI is 1710970942, taxonomy code is 310400000X and license number is 329214, license state is located at Minnesota. Faribault Health Care Llc physically located at 500 1st St Se, Faribault MN, 55021-6346. NPI Number 1033115704 has the healthcare provider type.

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1710970942 NPI number is provided on an as is basis without warranty of any kind. 1710970942 is maintained by the National Plan & Provider Enumeration System. The contents of Faribault Health Care Llc are for informational purposes only.