Organization
INTER-FAITH CARE CENTER
Active
Other names
Carlton Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY C PENK ADMINISTRATOR (ADMIN)
(218) 384-8411
Entity
Organization
Contact information
Practice address
813 3RD ST, CARLTON, MN 55718-9201
(218) 384-8440
(218) 384-8442
Mailing address
813 3RD ST, CARLTON, MN 55718-9201
(218) 384-8440
(218) 384-8442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
328357
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090963700
—
MN
Enumeration date
12/23/2005
Last updated
07/09/2008
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