Organization
OAKLAND PARK COMMUNITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MALONE (ADMINSITRATOR)
(218) 681-1675
Entity
Organization
Contact information
Practice address
123 BAKEN ST, THIEF RIVER FALLS, MN 56701-3903
(218) 681-1675
(218) 681-1037
Mailing address
123 BAKEN ST, THIEF RIVER FALLS, MN 56701-3903
(218) 681-1675
(218) 681-1037
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
335812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852108000
—
MN
01
—
9273 OA
BCBS PROVIDER NUMBER
MN
01
—
NH0431
UCARE PROVIDER NUMBER
MN
Enumeration date
10/07/2005
Last updated
07/17/2007
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