Organization
SHEPHERD OF GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A GLANZER (CEOADMINISTRATOR)
(320) 252-6525
Entity
Organization
Contact information
Practice address
11175 27TH AVE SE, BECKER, MN 55308
(763) 262-8000
Mailing address
11175 27TH AVE SE, BECKER, MN 55308
(763) 262-8000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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