Organization
UNITY FAMILY HEALTHCARE
Active
Other names
St Ottos Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A NOUAKOSKE (VP OF FINANCE)
(320) 632-1219
Entity
Organization
Contact information
Practice address
920 4TH ST SE, LITTLE FALLS, MN 56345-3540
(320) 632-9281
(320) 632-1376
Mailing address
920 4TH ST SE, LITTLE FALLS, MN 56345-3540
(320) 632-9281
(320) 632-1376
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
326702
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Y330T
BCBS
—
01
—
7111819
MEDICA
—
Enumeration date
09/30/2005
Last updated
08/22/2020
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