425 N Badger Street Caledonia Opco LLC
NPI #1194210997 in Caledonia, Minnesota
Provider Information
- NPI Number
- 1194210997
- Entity Type
- Organization
- Organization Name
- 425 N Badger Street Caledonia Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Jun 29, 2018
Practice Location
Authorized Official
- Name
- MARK MYERS
- Title
- MANAGER
- Phone
- (507) 725-3351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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