Baker Park

NPI #1073897641 in Bemidji, Minnesota

Provider Information

NPI Number: 1073897641
Entity Type: Organization
Organization Name: Baker Park
Subpart: Yes (part of a larger organization)
Parent Organization: SANFORD HEALTH OF NORTHERN MINNESOTA
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 30, 2011
Last Updated: Apr 23, 2013

Practice Location

Address: 1000 ANNE ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-5109
Phone: (218) 751-0220

Authorized Official

Name: MR. JON F BERGQUIST
Title: BUSINESS OFFICE MANAGER
Phone: (218) 333-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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