Organization
FIRST CARE MEDICAL SERVICES
Active
Other names
First Care Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BODENSTEINER (CFO)
(218) 435-7633
Entity
Organization
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1103
(218) 435-1134
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1103
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381347900
—
MN
Enumeration date
10/20/2006
Last updated
10/01/2021
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