Organization
PRAIRIE PINES COMMUNITY
Active
Parent organization
FIRST CARE MEDICAL SERVICES
Other names
Essentia Health Fosston
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CARE MEDICAL SERVICES
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
903 PRAIRE PINES DRIVE, FOSSTON, MN 56542
(218) 435-7682
(701) 364-8476
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1134
(701) 364-8476
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
364748
MN
Other
Enumeration date
05/22/2014
Last updated
10/01/2021
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