Organization
AICOTA HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON B MATALAMAKI (ADMINISTRATOR)
(218) 927-2164
Entity
Organization
Contact information
Practice address
850 2ND ST NW, AITKIN, MN 56431-1140
(218) 927-2164
(218) 927-6436
Mailing address
850 2ND ST NW, AITKIN, MN 56431-1140
(218) 927-2164
(218) 927-6436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
325756
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908540800
—
MN
Enumeration date
06/13/2005
Last updated
04/20/2017
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