Organization
OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID MONTAG OWNER (OWNER)
(507) 381-1312
Entity
Organization
Contact information
Practice address
640 3RD ST, GAYLORD, MN 55334-2297
(507) 237-2911
(507) 237-5744
Mailing address
1570 TOWER BLVD, NORTH MANKATO, MN 56003-2520
(507) 387-2037
(507) 387-6011
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
335464
MN
Other
Enumeration date
09/15/2007
Last updated
12/02/2016
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