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Assisted Living Facility

Renville, Minnesota

Provider NPI: 1811985286

Organization Information:

Practice Location:
Tel: 320-329-8381  Fax: --

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


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

Other Provider Identifiers:

PRIME WEST03080200801MN01
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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