Organization
GRANITE CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE KAY DHEIN QMRP (PROGRAM DIRECTOR)
(320) 251-4736
Entity
Organization
Contact information
Practice address
202 2ND AVE S, SAUK RAPIDS, MN 56379-1412
(320) 251-4736
(320) 654-6584
Mailing address
202 2ND AVE S, SAUK RAPIDS, MN 56379-1412
(320) 251-4736
(320) 654-6584
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
800919-2-RS
MN
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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