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Organization

BRIDGEWELL

Active
Parent organization
COMMUNITY MEMORIAL HOME AT OSAKIS MINNESOTA INC
Other names
Galeon
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY MEMORIAL HOME AT OSAKIS MINNESOTA INC
Authorized official
DAVE BRUCE CARLSON (ADMINISTRATOR)
(320) 859-2142
Entity
Organization

Contact information

Practice address
410 W MAIN ST, OSAKIS, MN 56360-8243
(320) 859-2142
(320) 859-6292
Mailing address
410 W MAIN ST, OSAKIS, MN 56360-8243
(320) 859-2142
(320) 859-6292

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
339876
MN

Other

Enumeration date
07/09/2008
Last updated
11/28/2011
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