Organization
STEWARTVILLE NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE GUSTASON (ADMINISTRATOR)
(507) 533-4288
Entity
Organization
Contact information
Practice address
120 4TH ST NE, STEWARTVILLE, MN 55976-1212
(507) 533-4288
(507) 533-1384
Mailing address
120 4TH ST NE, STEWARTVILLE, MN 55976-1212
(507) 533-4288
(507) 533-1384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332716
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8787ST
BLUE CROSS BLUE SHIELD
MN
01
—
NH0549
UCARE
MN
Enumeration date
03/23/2007
Last updated
08/22/2020
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