Organization
GPH BEMIDJI, INC
Active
Other names
GOLDPINE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY MARIE KILLIAN R.N. (OWNER)
(218) 444-4346
Entity
Organization
Contact information
Practice address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Mailing address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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