Organization
SUNRISE FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA MARIE BEULKE (DIRECTOR)
(507) 364-5050
Entity
Organization
Contact information
Practice address
1317 9TH ST NE, MONTGOMERY, MN 56069-4304
(507) 364-5050
(507) 744-4270
Mailing address
1317 9TH ST NE, MONTGOMERY, MN 56069-4304
(507) 364-5050
(507) 744-4270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1291-1031774-5-AFC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MN
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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