Organization
COUNTRY MEADOWS OF MILACA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (ASSOCIATE VP OF REVENUE CYCLE MGMT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
740 2ND ST. SE, MILACA, MN 56353-0157
(320) 983-2185
(320) 983-2190
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
332815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896487100
—
MN
Enumeration date
10/26/2006
Last updated
11/21/2025
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