Organization
OPCO NEW LONDON, MN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (AUTHORIZED OFFICIAL)
(773) 645-9246
Entity
Organization
Contact information
Practice address
100 GLENOAKS DR, NEW LONDON, MN 56273-9580
(320) 354-2231
Mailing address
2045 W GRAND AVE STE B34572, CHICAGO, IL 60612-1576
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
10/29/2024
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