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Organization
AUGUSTANA EMERALD CARE LLC
Active
Organization
AUGUSTANA EMERALD CARE LLC
Active
Other names
Augustana Emerald Crest of Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
8150 BAVARIA RD, VICTORIA, MN 55386-9702
(952) 856-7510
Mailing address
8150 BAVARIA RD, VICTORIA, MN 55386-9702
(952) 856-7510
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347701
MN
Other
Enumeration date
12/23/2009
Last updated
04/06/2023
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