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Organization

PIERZ VILLA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES BENEDICT BIRCHEM (PRESIDENT)
(320) 631-0008
Entity
Organization

Contact information

Practice address
119 FAUST ST, PIERZ, MN 56364-9540
(320) 468-6405
(320) 468-0088
Mailing address
119 FAUST ST, PO BOX 397, PIERZ, MN 56364-9540
(320) 468-6405
(320) 468-0088

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331139
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3D31PI
BLUE CROSS BLUE SHIELD
MN
01
7111818
MEDICA
MN
05
964657400
MN
01
NH0385
UCARE
MN
Enumeration date
08/15/2006
Last updated
08/22/2020
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