Organization
PHS/CAMBRIDGE CARE CENTER, LLC
Active
Other names
DBA: Grace Point Crossing - Gables East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MEYER (CFO)
(651) 631-6120
Entity
Organization
Contact information
Practice address
548 1ST AVE W, CAMBRIDGE, MN 55008-1020
(763) 689-2323
Mailing address
548 1ST AVE W, CAMBRIDGE, MN 55008-1020
(763) 231-0410
(763) 231-0420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
342879
MN
314000000X
Skilled Nursing Facility
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195487000
—
MN
01
—
NH0157
UCARE
MN
Enumeration date
11/17/2006
Last updated
01/24/2017
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