Augustana Mercy Care Center LLC

NPI #1104143791 in Moose Lake, Minnesota

Provider Information

NPI Number
1104143791
Entity Type
Organization
Organization Name
Augustana Mercy Care Center LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 23, 2010
Last Updated
Nov 21, 2025

Practice Location

Address
710 S KENWOOD AVE
ZIP Code
55767-9405
Phone
(218) 485-4481

Authorized Official

Name
SEELOCHANI STADTHERR
Title
ASSOCIATE VP OF REVENUE CYCLE MGMT
Phone
(952) 855-5041

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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