Organization
425 N BADGER STREET CALEDONIA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MYERS (MANAGER)
(507) 725-3351
Entity
Organization
Contact information
Practice address
425 N BADGER ST, CALEDONIA, MN 55921
(507) 725-3351
Mailing address
425 N BADGER ST, CALEDONIA, MN 55921-1567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/29/2018
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