Organization
SENIOR CARE FOREST LAKE, LLC
Active
Other names
Birchwood Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUE RICHTER (ACCOUNTANT)
(612) 431-7932
Entity
Organization
Contact information
Practice address
604 N.E. FIRST STREET, FOREST LAKE, MN 55025
(651) 464-5600
Mailing address
604 N.E. FIRST STREET, FOREST LAKE, MN 55025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399240300
—
MN
01
—
8608B
BCBS
MN
01
—
HPFIN 231
HEALTHPARTNERS
MN
01
—
NH0004
UCARE
MN
Enumeration date
02/26/2007
Last updated
12/27/2022
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