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Organization
COUNTRY MEADOWS OF MILACA, INC.
Active
Organization
COUNTRY MEADOWS OF MILACA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (AVP, REVENUE CYCLE MANAGEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
740 2ND ST SE, MILACA, MN 56353-4653
(320) 983-2185
(320) 983-2190
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
332815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896487100
—
MN
Enumeration date
10/26/2006
Last updated
07/23/2026
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