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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MN329214
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MN329250

Other Provider Identifiers:

IssuerNumberStateType
470618800MN05
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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