Organization
COKATO CHARITABLE TRUST
Active
Parent organization
COKATO CHARITABLE TRUST
Other names
COKATO MANOR HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COKATO CHARITABLE TRUST
Authorized official
JAMES BROICH (CEO/ADMINISTRATOR)
(320) 286-2158
Entity
Organization
Contact information
Practice address
511 COKATO ST NW, COKATO, MN 55321-9404
(320) 286-3049
(320) 286-2307
Mailing address
182 SUNSET AVE NW, COKATO, MN 55321-9620
(320) 286-2158
(320) 286-2307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03746
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802014
PRIME WEST
MN
01
—
167905
UCARE
MN
05
—
249075700
—
MN
01
—
30437
HEALTH PARTNERS
MN
01
—
5900013
MEDICA
MN
01
—
5Z74C0
BCBS
MN
01
—
60-12085
IV THERAPY
MN
Enumeration date
07/05/2006
Last updated
09/08/2016
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