Organization
STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BUCHANAN (ADMINISTRATOR)
(218) 736-0400
Entity
Organization
Contact information
Practice address
1821 N PARK ST, FERGUS FALLS, MN 56537-1247
(218) 226-6300
Mailing address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00531
MN
Other
Enumeration date
07/15/2013
Last updated
10/05/2017
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