Organization
PIONEER MEMORIAL CARE CENTER
Active
Other names
THE COUNTRY PLACE , CROSSROADS APARTMENTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURT JENSON (ADMINISTRATOR)
(218) 687-2365
Entity
Organization
Contact information
Practice address
23028 347TH ST SE, ERSKINE, MN 56535-9466
(218) 687-2365
(218) 687-2047
Mailing address
23028 347TH ST SE, ERSKINE, MN 56535-9466
(218) 687-2365
(218) 687-2047
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328447
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328447
MN DEPT OF HEALTH LICENSE
MN
05
—
358342200
—
MN
Enumeration date
08/22/2005
Last updated
07/30/2008
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