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Organization

PREMIER HEALTHCARE MANAGEMENT OF PAYNESVILLE LLC

Active
Other names
Koronis Court
Organization subpart
No

Provider details

NPI number
Authorized official
FRED STRUZYK (SEC/TREASURER)
(320) 764-1503
Entity
Organization

Contact information

Practice address
405 HWY 55, PAYNESVILLE, MN 56362
(320) 764-1503
Mailing address
410 LUELLA ST, WATKINS, MN 55389-1012
(320) 764-1503

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/18/2022
Last updated
02/18/2022
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