Organization
ECUMEN
Active
Other names
Margaret S. Parmly
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS R JOHNSON (CFO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
28210 OLD TOWNE RD, CHISAGO CITY, MN 55013-9556
(651) 257-0575
(651) 257-0579
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8164
(651) 766-4300
(651) 766-4310
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42720400
—
MN
01
—
7122693
MEDICA
—
01
—
9680MA
BLUE CROSS BLUE SHIELD
MN
01
—
NH0344
UCARE
MN
Enumeration date
07/29/2006
Last updated
12/10/2007
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