Organization
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Active
Other names
Hendricks Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF GOLLAHER (CEO)
(507) 257-3134
Entity
Organization
Contact information
Practice address
503 EAST LINCOLN ST, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Mailing address
PO BOX 106, HENDRICKS, MN 56136-0106
(507) 275-3134
(507) 275-2242
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
333785
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204342400
—
MN
Enumeration date
10/31/2006
Last updated
02/23/2017
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