Organization
GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS MINNESOTA
Active
Other names
Good Shepherd Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALLEN GLANZER (ADMINISTRATOR CEO)
(320) 252-6525
Entity
Organization
Contact information
Practice address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Mailing address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
333736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168023400
—
MN
Enumeration date
11/27/2006
Last updated
12/21/2010
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