Organization
KNUTE NELSON
Active
Other names
KNUTE NELSON CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARNIE MARIE GUGISBERG (SR. VP/CFO)
(320) 763-1164
Entity
Organization
Contact information
Practice address
420 12TH AVE E, ALEXANDRIA, MN 56308-2612
(320) 763-6653
(320) 763-7548
Mailing address
2209 JEFFERSON ST STE 201, ALEXANDRIA, MN 56308-2848
(320) 763-6653
(320) 763-7548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0026257
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178540100
—
MN
01
—
9701KN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/22/2006
Last updated
04/12/2024
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