Organization
KELLIHER CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN POTVIN (PRESIDNET)
(218) 435-6205
Entity
Organization
Contact information
Practice address
312 MAIN STREET, KELLIHER, MN 56650-0189
(218) 647-8258
(218) 647-8483
Mailing address
PO BOX 189, KELLIHER, MN 56650-0189
(218) 647-8258
(218) 647-8483
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7189753
MEDICA
MN
01
—
8575KE
BLUE CROSS OF MN
MN
Enumeration date
07/08/2006
Last updated
08/22/2020
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