Organization
DIVINE PROVIDENCE HEALTH CENTER INC
Active
Other names
Divine Providence Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH SWANSON LNHA (ADMINISTRATOR)
(507) 694-2010
Entity
Organization
Contact information
Practice address
312 EAST GEORGE STREET, IVANHOE, MN 56142-0136
(507) 694-1414
(507) 694-1191
Mailing address
312 EAST GEORGE STREET, IVANHOE, MN 56142-0136
(507) 694-1414
(507) 694-1191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331605
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
859245400
—
MN
Enumeration date
07/11/2006
Last updated
07/21/2022
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