Organization
FARIBAULT CARE CENTER
Active
Parent organization
DNR THREE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DNR THREE LLC
Authorized official
GARETT ROBERTSON (CEO)
(801) 296-5105
Entity
Organization
Contact information
Practice address
1738 HULETT AVE, FARIBAULT, MN 55021-2918
(502) 419-2571
Mailing address
1738 HULETT AVE, FARIBAULT, MN 55021-2918
(507) 334-3918
(507) 332-2748
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811299423
—
MN
Enumeration date
12/02/2010
Last updated
05/14/2013
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