Organization
AUGUSTANA EMERALD CARE LLC
Active
Other names
Augustana Emerald Crest of Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
8150 BAVARIA RD, VICTORIA, MN 55386-9702
(952) 856-7510
Mailing address
8150 BAVARIA RD, VICTORIA, MN 55386-9702
(952) 856-7510
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347701
MN
Other
Enumeration date
12/23/2009
Last updated
04/06/2023
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