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MCINTOSH SENIOR LIVING

Alzheimer Center

Mcintosh, Minnesota

Provider NPI: 1033443858

Organization Information:
Organization Name:  MCINTOSH SENIOR LIVING


Practice Location:
600 RIVERSIDE AVE NE  MCINTOSH, MN 56556 US
Tel: 218-563-2715  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
MN346410
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MN346410

Other Provider Identifiers:

IssuerNumberStateType
230080000MN05
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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