CENTRAL MINNESOTA SENIOR CARE, INC.
Custodial Care Facility
Willmar, Minnesota
Provider NPI: 1134268030
Organization Information:Organization Name: CENTRAL MINNESOTA SENIOR CARE, INC.
Practice Location:
328 5TH ST SW WILLMAR, MN 56201 US
Tel: 320-231-2738 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:
328 5TH ST SW WILLMAR, MN 56201 US
Tel: 320-231-2738 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 434214300 |
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | MN | 402971200 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
434214300 | MN | 05 | |
MEDICA | 5982222 | MN | 01 |
PRIMEWEST | 040911002 | MN | 01 |
402971200 | MN | 05 |
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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