Organization
BENEDICTINE CARE CENTERS
Active
Parent organization
BENEDICTINE CARE CENTERS
Other names
St. Crispin Living Community - The Villa
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEDICTINE CARE CENTERS
Authorized official
JAKE GOERING (ADMINISTRATOR/CEO)
(651) 385-3435
Entity
Organization
Contact information
Practice address
213 PIONEER RD, RED WING, MN 55066-3921
(651) 388-1234
(651) 385-5444
Mailing address
135 PIONEER RD, RED WING, MN 55066-4217
(651) 388-1234
(651) 388-0347
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331733
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377175000
—
MN
Enumeration date
10/26/2006
Last updated
06/14/2019
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