Organization
LIVING SERVICES FOUNDATION/MINNEOTA, LLC
Active
Other names
Minneota Manor Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KAMSTRA (CHIEF OPERATING OFFICER)
(763) 231-0410
Entity
Organization
Contact information
Practice address
700 NORTH MONROE STREET, MINNEOTA, MN 56264-9237
(507) 872-5300
Mailing address
700 N MONROE ST, MINNEOTA, MN 56264-9237
(763) 231-0410
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
342939
MN
261QP2000X
Physical Therapy Clinic/Center
341587
MN
310400000X
Assisted Living Facility
342420
MN
314000000X
Skilled Nursing Facility
Primary
341587
MN
Other
Enumeration date
08/07/2009
Last updated
04/23/2015
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