Organization
OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID MONTAG (PRESIDENT)
(507) 381-1312
Entity
Organization
Contact information
Practice address
716 SIBLEY AVE, GAYLORD, MN 55334-2386
(507) 237-2911
(507) 237-5744
Mailing address
1570 TOWER BLVD, NORTH MANKATO, MN 56003-2520
(507) 387-2037
(507) 387-6011
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
338323
MN
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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