Organization
WELCOV HEALTHCARE LLC
Active
Other names
Evergreen Terrace Healthcare Community
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DOLS (DIRECTOR OF MANAGED CARE)
(952) 873-7934
Entity
Organization
Contact information
Practice address
2801 S HIGHWAY 169, GRAND RAPIDS, MN 55744-9552
(218) 326-3431
(218) 327-3217
Mailing address
2801 S HIGHWAY 169, GRAND RAPIDS, MN 55744-9552
(218) 326-3431
(218) 327-3217
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606318700
—
MN
Enumeration date
11/29/2006
Last updated
05/01/2015
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