Organization
COUNTRY MANOR CAMPUS LLC
Active
Parent organization
COUNTRY MANOR CAMPUS LLC
Other names
The Country Villa
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTRY MANOR CAMPUS LLC
Authorized official
KEVIN G. HARGUTH (CFO)
(320) 258-8983
Entity
Organization
Contact information
Practice address
520 1ST ST NE, SARTELL, MN 56377-1274
(320) 253-1920
Mailing address
520 1ST ST NE, SARTELL, MN 56377-1274
(320) 253-1920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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