Organization
FAIRWAY PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
606 MAIN ST N, SAUK CENTRE, MN 56378-4899
(320) 351-4900
Mailing address
606 MAIN ST N, SAUK CENTRE, MN 56378-4899
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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