Organization
WERNER ENTERPRISES INC.
Active
Other names
Bywood East Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CLEM WERNER (ADMINISTRATOR)
(612) 788-9757
Entity
Organization
Contact information
Practice address
3427 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1221
(612) 788-9757
(612) 789-6564
Mailing address
3427 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1221
(612) 788-9757
(612) 789-6564
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
327585
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16024200
—
MN
Enumeration date
10/04/2005
Last updated
08/22/2020
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