Organization
GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN GLANZER (PRESIDENT CEO)
(320) 252-6525
Entity
Organization
Contact information
Practice address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Mailing address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331907
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686240300
—
MN
Enumeration date
07/06/2006
Last updated
12/17/2010
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