Organization
PLEASANT MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BONNIE CAMPEAU LNHA (EXECUTIVE DIRECTOR)
(507) 334-2036
Entity
Organization
Contact information
Practice address
27 BRAND AVE, FARIBAULT, MN 55021-6411
(507) 334-2036
(507) 334-3558
Mailing address
27 BRAND AVE, FARIBAULT, MN 55021-6411
(507) 334-2036
(507) 334-3558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326599
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025681
—
MN
01
—
270543500
DHS PROVIDER NUMBER
MN
Enumeration date
05/31/2005
Last updated
09/11/2013
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