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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
MN333736

Other Provider Identifiers:

IssuerNumberStateType
1396807962MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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