Organization
AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
14650 GARRETT AVE, APPLE VALLEY, MN 55124-7543
(952) 236-2500
Mailing address
14650 GARRETT AVE, APPLE VALLEY, MN 55124-7543
(952) 431-7700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176622800
—
MN
Enumeration date
05/04/2006
Last updated
06/23/2021
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