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Organization
OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
Active
Organization
OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID MONTAG (PRESIDENT)
(507) 381-1312
Entity
Organization
Contact information
Practice address
716 SIBLEY AVE, GAYLORD, MN 55334-2386
(507) 237-2911
(507) 237-5744
Mailing address
1570 TOWER BLVD, NORTH MANKATO, MN 56003-2520
(507) 387-2037
(507) 387-6011
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
338323
MN
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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