Five Star Quality Care - Mn, LLC

NPI #1396918918 in Rogers, Minnesota

Provider Information

NPI Number
1396918918
Entity Type
Organization
Organization Name
Five Star Quality Care - Mn, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CAR - MN, LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Apr 3, 2008
Last Updated
Apr 3, 2008

Practice Location

Address
20600 S DIAMOND LAKE RD
City
Rogers
ZIP Code
55374-4515
Phone
(763) 428-1981

Authorized Official

Name
BRUCE MACKEY
Title
CFO
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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Provider Name
Range Regional Health Services

Part of Range Regional Health Services

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