Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO HILL RN, LNHA (ADMINISTRATOR)
(651) 385-3435
Entity
Organization
Contact information
Practice address
906 COLLEGE AVE, RED WING, MN 55066-2459
(651) 385-3434
(651) 385-3420
Mailing address
906 COLLEGE AVE, RED WING, MN 55066-2459
(651) 385-3434
(651) 385-3420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
649240100
MN
Other
Enumeration date
10/05/2005
Last updated
10/04/2012
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