Organization
LIFECARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANN HUSS (AUTHORIZED OFFICIAL)
(218) 463-4763
Entity
Organization
Contact information
Practice address
711 DELMORE DR, ROSEAU, MN 56751-1534
(243) 463-4702
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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