Country Manor Campus LLC

NPI #1154595858 in Sartell, Minnesota

Provider Information

NPI Number: 1154595858
Entity Type: Organization
Organization Name: Country Manor Campus LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Primary Specialty: Home Health
Enumeration Date: Apr 15, 2008
Last Updated: Jun 30, 2021

Practice Location

Address: 520 1ST ST NE
City: Sartell
State: Minnesota
ZIP Code: 56377-1274
Phone: (320) 253-3343

Authorized Official

Name: KEVIN G. HARGUTH
Title: C.F.O.
Phone: (320) 258-8983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X
Home Health	251E00000X	Primary

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