Organization
MCCORNELL COURT
Active
Parent organization
ST. WILLIAMS LIVING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. WILLIAMS LIVING CENTER
Authorized official
MR. PAUL C. BAER (ADMINISTRATOR)
(218) 338-4671
Entity
Organization
Contact information
Practice address
122 NO. MCCORNELL AVENUE, PARKERS PRAIRIE, MN 56361
(218) 338-4671
(218) 338-5917
Mailing address
P.O. BOX 30, PARKERS PRAIRIE, MN 56361
(218) 338-4671
(218) 338-5917
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
346068
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887342900
—
MN
Enumeration date
12/15/2009
Last updated
12/22/2009
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