Organization
MABEL HEALTHCARE CENTER, INC
Active
Other names
Green Lea Manor
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
115 NORTH LYNDALE, MABEL, MN 55954
(507) 493-5436
Mailing address
115 NORTH LYNDALE, MABEL, MN 55954
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
329814
MN
314000000X
Skilled Nursing Facility
Primary
329003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226227100
—
MN
05
—
824025600
—
MN
Enumeration date
05/02/2006
Last updated
06/18/2008
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