Organization
WOOD DALE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A SANDMANN (ADMINISTRATOR)
(507) 637-3587
Entity
Organization
Contact information
Practice address
600 SUNRISE BLVD, REDWOOD FALLS, MN 56283-1863
(507) 637-3587
(507) 637-2546
Mailing address
600 SUNRISE BLVD, REDWOOD FALLS, MN 56283-1863
(507) 637-3587
(507) 637-2546
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
329922
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87461W0
BLUE CROSS
MN
Enumeration date
01/04/2006
Last updated
08/22/2020
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