Organization
LRHC LONG TERM CARE FACILITIES, INC.
Active
Other names
Mill Street Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID SIEMS (DIRECTOR)
(218) 736-8590
Entity
Organization
Contact information
Practice address
802 S MILL ST, FERGUS FALLS, MN 56537-2750
(218) 739-2900
(218) 739-2192
Mailing address
802 S MILL ST, FERGUS FALLS, MN 56537-2750
(218) 739-2900
(218) 739-2192
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
335628
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825640300
—
MN
Enumeration date
05/23/2007
Last updated
05/14/2008
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