FARIBAULT HEALTH CARE LLC
Assisted Living Facility
Faribault, Minnesota
Provider NPI: 1710970942
Organization Information:Organization Name: FARIBAULT HEALTH CARE LLC
Practice Location:
500 1ST ST SE FARIBAULT, MN 55021 US
Tel: 507-332-5100 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:
500 1ST ST SE FARIBAULT, MN 55021 US
Tel: 507-332-5100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 329214 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 329250 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
470618800 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin