Organization
WILLMAR CARE CENTER LLC
Active
Parent organization
DNR THREE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DNR THREE LLC
Authorized official
GARETT ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
500 RUSSELL ST NW, WILLMAR, MN 56201-2583
(320) 235-3181
Mailing address
500 RUSSELL ST NW, WILLMAR, MN 56201-2583
(320) 235-3181
(320) 235-0113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639472426
—
MN
Enumeration date
12/16/2010
Last updated
05/08/2013
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