Organization
CAMILIA ROSE COMPANY INC
Active
Parent organization
CAMILIA ROSE COMPANY INC
Other names
CAMILIA ROSE CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMILIA ROSE COMPANY INC
Authorized official
JASON TJOSVOLD (SECRETARY & TREASURER)
(763) 567-8951
Entity
Organization
Contact information
Practice address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(763) 755-8400
(783) 755-8578
Mailing address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(763) 755-8400
(783) 755-8578
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231243300
—
MN
Enumeration date
09/29/2005
Last updated
02/10/2020
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