Tamarac

NPI 1053378281 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053378281
Enumeration Date 05/01/2006
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name REX REX
Position TREASURER
Phone (218) 478-2850
Fax (218) 478-2852
Practice Location
900 LINCOLN AVENUE
STEPHEN MN, 56757, US
Phone (218) 478-2850
Fax (218) 478-2852
Business Location
900 LINCOLN AVENUE
STEPHEN MN, 56757, US
Phone (218) 478-2850
Fax (218) 478-2852
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 329663
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According to our database, Tamarac NPI is 1053378281, taxonomy code is 310400000X and license number is 329663, license state is located at Minnesota. Tamarac physically located at 900 Lincoln Avenue, Stephen MN, 56757. NPI Number 1033115704 has the healthcare provider type.

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1053378281 NPI number is provided on an as is basis without warranty of any kind. 1053378281 is maintained by the National Plan & Provider Enumeration System. The contents of Tamarac are for informational purposes only.