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Organization
AUGUSTANA MERCY CARE CENTER LLC
Active
Organization
AUGUSTANA MERCY CARE CENTER LLC
Active
Other names
Augustana Kenwood Place, Moose Lake Village Assisted Living - Kenwood
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (AVP, REVENUE CYCLE MANAGEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
710 S KENWOOD AVE, MOOSE LAKE, MN 55767-9405
(218) 485-4481
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
04/23/2010
Last updated
07/23/2026
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