Organization
CENTRACARE HEALTH-PAYNESVILLE LLC
Active
Other names
CentraCare Health - Paynesville Washburne Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
311 WASHBURNE AVE, PAYNESVILLE, MN 56362-1658
(320) 243-7451
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-7955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
10/10/2019
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