Organization
SENIOR MANAGEMENT INC.
Active
Other names
Caledonia Care & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT D THAYER (PRESIDENT)
(507) 269-6815
Entity
Organization
Contact information
Practice address
425 N BADGER ST, CALEDONIA, MN 55921-0112
(507) 725-3351
(507) 725-5142
Mailing address
425 N BADGER ST, P.O. BOX 112, CALEDONIA, MN 55921-0112
(507) 725-3351
(507) 725-5142
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
1033406-1-ADC
MN
310400000X
Assisted Living Facility
359435
MN
310400000X
Assisted Living Facility
359436
MN
314000000X
Skilled Nursing Facility
Primary
357654
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040058
PREFERRED ONE-OUTPATIENT
MN
01
—
1042964
PREFERRED ONE-INPATIENT
MN
05
—
190176100
—
MN
01
—
2R12CA
BCBS OF MN
MN
01
—
NH0246
U-CARE
MN
Enumeration date
10/04/2006
Last updated
04/01/2013
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