Organization
HUBBARD COUNTY HERITAGE LIVING CENTER
Active
Other names
Heritage Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT S HANSEN (ADMINISTRATOR)
(218) 732-3329
Entity
Organization
Contact information
Practice address
619 6TH ST W, PARK RAPIDS, MN 56470-1301
(218) 732-3329
(218) 732-9125
Mailing address
619 6TH ST W, PARK RAPIDS, MN 56470-1301
(218) 732-3329
(218) 732-9125
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331918
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8729SU
BLUE CROSS BLUE SHIELD MN
MN
05
—
924240600
—
MN
Enumeration date
06/14/2006
Last updated
03/22/2017
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