Organization
FRAZEE CARE COMMUNITY LLC
Active
Other names
Frazee Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM DUMPPROPE (BILLING SPECIALIST)
(218) 334-4501
Entity
Organization
Contact information
Practice address
219 W MAPLE AVE, FRAZEE, MN 56544-4336
(218) 334-4501
(218) 334-4500
Mailing address
219 W MAPLE AVE, FRAZEE, MN 56544-4336
(218) 334-4501
(218) 334-4500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4980495
MEDICA WAIVER
MN
01
—
5L06FR
BLUE CROSS BLUE SHIELD
MN
01
—
7100395
MEDICA MSHO
MN
01
—
7122681
MEDICA INSURANCE
MN
Enumeration date
09/14/2006
Last updated
10/19/2007
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