Organization
SAINT THERESE OF CORCORAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAL M SHELANGOSKI (CHIEF FINANCIAL OFFICER)
(563) 554-7606
Entity
Organization
Contact information
Practice address
19800 79TH PLACE, CORCORAN, MN 55340
(763) 567-4700
Mailing address
1660 HIGHWAY 100 S STE 103, SAINT LOUIS PARK, MN 55416-1599
(952) 283-2204
(952) 224-0128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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