Organization
FARIBAULT SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MYERS (VP OF OPERATIONS)
(651) 454-4801
Entity
Organization
Contact information
Practice address
843 FARIBAULT ROAD, FARIBAULT, MN 55021
(507) 334-5009
(651) 454-4783
Mailing address
843 FARIBAULT ROAD, FARIBAULT, MN 55021
(507) 334-5009
(651) 454-4783
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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