Organization
ST. MARKS LUTHERAN HOME
Active
Other names
Kenwood Heritage Living
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KAY ROCHELEAU (AUTHORIZED AGENT)
(320) 302-0192
Entity
Organization
Contact information
Practice address
400 15TH AVE SW, AUSTIN, MN 55912-3232
(507) 437-4594
(507) 434-7201
Mailing address
400 15TH AVE SW, AUSTIN, MN 55912-3232
(507) 437-4594
(507) 434-7201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
329304
MN
314000000X
Skilled Nursing Facility
Primary
328526
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055842700
—
MN
Enumeration date
03/28/2006
Last updated
10/03/2025
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