Organization
KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOSEPH LANE (PRINCIPAL)
(218) 568-6610
Entity
Organization
Contact information
Practice address
1109 LUNDORFF, SANDSTONE, MN 55072
(320) 216-7300
(320) 216-7022
Mailing address
PO BOX 379, 30184 OLD HWY 371, PEQUOT LAKES, MN 56472
(218) 568-6610
(218) 568-6642
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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