Organization
ST. WILLIAM'S LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM RAY KELLY (ADMINISTRATOR)
(218) 338-1001
Entity
Organization
Contact information
Practice address
212 W SOO ST, PARKERS PRAIRIE, MN 56361-4404
(218) 338-4671
(218) 338-5917
Mailing address
212 W SOO ST, PARKERS PRAIRIE, MN 56361-4404
(218) 338-4671
(218) 338-5917
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
335483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887342900
—
MN
Enumeration date
03/13/2007
Last updated
06/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us