Organization
LIFECARE MEDICAL CENTER
Active
Other names
LIFECARE HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A. HUSS (CFO)
(218) 463-4763
Entity
Organization
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167616
UCARE
MN
05
—
342547900
—
MN
05
—
877816700
—
MN
01
—
8G492RO
BLUE CROSS MN
MN
01
—
9A23ARO
BLUE CROSS OF MN
MN
Enumeration date
09/21/2005
Last updated
07/21/2022
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