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Organization

GOOD SHEPHERD LUTHERAN HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA SPECE (ACCOUNTING SERVICE DIRECTOR)
(507) 864-7714
Entity
Organization

Contact information

Practice address
800 HOME ST, RUSHFORD, MN 55971-8836
(507) 864-7714
(507) 864-2842
Mailing address
PO BOX 747, RUSHFORD, MN 55971-0747
(507) 864-7714
(507) 864-2842

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0033469
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4657G0
BLUE CROSS & BLUE SHEILD
MN
01
NH0287
UCARE OF MN
MN
01
S5744
BLUE CROSS & BLUE SHEILD
MI
Enumeration date
06/20/2005
Last updated
08/22/2020
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