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Organization
GPH BEMIDJI, INC
Active
Organization
GPH BEMIDJI, INC
Active
Other names
GOLDPINE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY MARIE KILLIAN R.N. (OWNER)
(218) 444-4346
Entity
Organization
Contact information
Practice address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Mailing address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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