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Organization
GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC.
Active
Organization
GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC.
Active
Other names
Good Shepherd Cottages, Good Shepherd Memory Loss Cottages
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STORDAHL (ADMINISTRATOR CEO)
(320) 252-6525
Entity
Organization
Contact information
Practice address
307 11TH ST N, SAUK RAPIDS, MN 56379-2184
(320) 252-6525
(320) 259-3463
Mailing address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
333736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396807962
—
MN
Enumeration date
12/13/2006
Last updated
08/13/2021
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