GRAND MEADOW HEALTHCARE CENTER, INC
Assisted Living Facility
Grand Meadow, Minnesota
Provider NPI: 1740278282
Organization Information:Organization Name: GRAND MEADOW HEALTHCARE CENTER, INC
Practice Location:
210 GRAND AVE W GRAND MEADOW, MN 55936 US
Tel: 507-754-5226 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:
210 GRAND AVE W GRAND MEADOW, MN 55936 US
Tel: 507-754-5226 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 326959 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 0029853 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICA | 7100405 | MN | 01 |
796132400 | MN | 05 | |
346314100 | MN | 05 | |
BLUE CROSS BLUE SHIELD | 8692ME | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin