Organization
KELLIHER CARE CENTER INC
Active
Other names
CORNERSTONE RESIDENCE OF KELLIHER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN POTVIN (PRESIDENT)
(218) 435-6205
Entity
Organization
Contact information
Practice address
280 MAIN STREET WEST, KELLIHER, MN 56650
(218) 647-8258
(218) 647-8483
Mailing address
280 MAIN STREET WEST, PO BOX 189, KELLIHER, MN 56650
(218) 647-8258
(218) 647-8483
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
337372
MN
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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