Organization
SOUTHVIEW LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVIS JEAN PAUTZ RN (OWNER)
(507) 834-6510
Entity
Organization
Contact information
Practice address
555 E 12TH ST, GIBBON, MN 55335-3136
(507) 834-6510
(507) 834-6511
Mailing address
555 E 12TH ST, GIBBON, MN 55335-3136
(507) 834-6510
(507) 834-6511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331741
MN
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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