GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC.
Alzheimer Center
Sauk Rapids, Minnesota
Provider NPI: 1396807962
Organization Information:Organization Name: GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC.
Practice Location:
307 11TH ST N SAUK RAPIDS, MN 56379 US
Tel: 320-252-6525 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
307 11TH ST N SAUK RAPIDS, MN 56379 US
Tel: 320-252-6525 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MN | 333736 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1396807962 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin