Organization
MINNEWASKA LUTHERAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE EHRENBERG (ADMINISTRATOR)
(320) 239-7156
Entity
Organization
Contact information
Practice address
605 MAIN STREET, STARBUCK, FM 56381
(320) 239-2217
(320) 239-2219
Mailing address
PO BOX 40, STARBUCK, MN 56381-0040
(320) 239-2217
(320) 239-2219
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
325202
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328542100
—
MN
Enumeration date
06/01/2005
Last updated
10/20/2023
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