Organization
LIVING SERVICES FOUNDATION WINSTED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KAMSTRA (SECRETARY OF THE BOARD)
(763) 231-0410
Entity
Organization
Contact information
Practice address
551 4TH ST N, WINSTED, MN 55395-4523
(320) 485-2151
Mailing address
900 LONG LAKE RD, SUITE 130, NEW BRIGHTON, MN 55112-6428
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
314000000X
Skilled Nursing Facility
Primary
339827
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
734769300
—
MN
Enumeration date
05/30/2008
Last updated
05/30/2008
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