Organization
GRAND MEADOW HEALTHCARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
210 GRAND AVE W, GRAND MEADOW, MN 55936-1105
(507) 754-5226
Mailing address
210 GRAND AVE W, PO BOX 365, GRAND MEADOW, MN 55936-1105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
326959
MN
314000000X
Skilled Nursing Facility
Primary
0029853
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346314100
—
MN
01
—
7100405
MEDICA
MN
05
—
796132400
—
MN
01
—
8692ME
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/10/2005
Last updated
10/20/2008
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