Organization
PARK VIEW CARE CENTER
Active
Other names
Buffalo Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (SENIOR DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
200 PARK LN, BUFFALO, MN 55313-1336
(763) 682-1131
(763) 684-1044
Mailing address
200 PARK LN, BUFFALO, MN 55313-1336
(763) 682-1131
(763) 684-1044
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
328223
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163843200
—
MN
01
—
328223
MINNESOTA STATE LICENSE
MN
Enumeration date
10/07/2005
Last updated
07/31/2023
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