Organization
SKYLIGHT GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN MACE (COMMUNITY MANAGER)
(320) 259-4584
Entity
Organization
Contact information
Practice address
501 1ST ST N, SAINT CLOUD, MN 56303-4705
(320) 259-4584
(320) 259-6159
Mailing address
501 1ST ST N, SAINT CLOUD, MN 56303-4705
(320) 259-4584
(320) 259-6159
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M344318300
—
MN
Enumeration date
06/04/2009
Last updated
06/04/2009
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