Organization
NU HORIZONS OF SOUTHERN MN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHNSON (EXECUTIVE DIRECTOR)
(612) 386-8743
Entity
Organization
Contact information
Practice address
511 W HWY 60, ELYSIAN, MN 56028
(507) 267-4546
Mailing address
PO BOX 247, ELYSIAN, MN 56028-0247
(612) 386-8743
(507) 234-6480
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A016698200
—
MN
05
—
A497458400
—
MN
05
—
A722960500
—
MN
05
—
A808132000
—
MN
05
—
A851678300
—
MN
Enumeration date
04/13/2021
Last updated
04/13/2021
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