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VILLAGE OF FERTILE

Skilled Nursing Facility

Fertile, Minnesota

Provider NPI: 1417950593

Organization Information:
Organization Name:  VILLAGE OF FERTILE


Practice Location:
300 GARFIELD AVE. SE  FERTILE, MN 56540 US
Tel: 218-945-6194  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MN327713

Other Provider Identifiers:

IssuerNumberStateType
804740500MN05
BLUE CROSS/BLUE SHIELD4541FAMN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS MN - Page 1