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Organization

RED WING HEALTH CENTER, LLC

Active
Parent organization
MISSION HEALTHCARE, LLC
Other names
Red Wing Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSION HEALTHCARE, LLC
Authorized official
MR. PAUL J. CONTRIS (PRESIDENT)
(480) 730-1573
Entity
Organization

Contact information

Practice address
1412 WEST 4TH STREET, RED WING, MN 55046
(651) 388-2843
(651) 388-9502
Mailing address
1412 WEST 4TH STREET, RED WING, MN 55046
(651) 388-2843
(651) 388-9502

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
329002
MN
314000000X
Skilled Nursing Facility
Primary
349026
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005315500
MN
05
30395
ND
05
955270700
MN
Enumeration date
11/17/2005
Last updated
10/05/2010
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