Faribault Senior Living Llc

NPI 1770873937 - Assisted Living Facility - 310400000X

NPI Details
NPI 1770873937
Enumeration Date 04/08/2011
Last Updated 04/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KELLY KELLY
Position VP OF OPERATIONS
Phone (507) 334-5009
Fax (651) 454-4783
Practice Location
843 FARIBAULT ROAD
FARIBAULT MN, 55021, US
Phone (507) 334-5009
Fax (651) 454-4783
Business Location
843 FARIBAULT ROAD
FARIBAULT MN, 55021, US
Phone (507) 334-5009
Fax (651) 454-4783
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Faribault Senior Living Llc NPI is 1770873937, taxonomy code is 310400000X Faribault Senior Living Llc physically located at 843 Faribault Road, Faribault MN, 55021. NPI Number 1033115704 has the healthcare provider type.

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1770873937 NPI number is provided on an as is basis without warranty of any kind. 1770873937 is maintained by the National Plan & Provider Enumeration System. The contents of Faribault Senior Living Llc are for informational purposes only.