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Organization

CARE-AGE COUNTRY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN A. NIEMEYER (ADMINISTRATOR)
(218) 732-3721
Entity
Organization

Contact information

Practice address
18846 EAGLE BEND RD, PARK RAPIDS, MN 56470-2073
(218) 732-3721
(218) 732-1208
Mailing address
18846 EAGLE BEND RD, PARK RAPIDS, MN 56470-2073
(218) 732-3721
(218) 732-1208

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MN

Other

Enumeration date
04/04/2008
Last updated
04/04/2008
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