Organization
LIFECARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A. HUSS (CFO)
(218) 463-4763
Entity
Organization
Contact information
Practice address
152 5TH ST S, GREENBUSH, MN 56726-4406
(218) 782-2131
(218) 782-4005
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
346331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850026600
—
MN
01
—
NH0426
UCARE
MN
Enumeration date
09/19/2005
Last updated
05/31/2013
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