Prairie Pines Community

NPI #1407268642 in Fosston, Minnesota

Provider Information

NPI Number: 1407268642
Entity Type: Organization
Organization Name: Prairie Pines Community
Subpart: Yes (part of a larger organization)
Parent Organization: FIRST CARE MEDICAL SERVICES
Primary Specialty: Assisted Living Facility
Enumeration Date: May 22, 2014
Last Updated: Oct 1, 2021

Practice Location

Address: 903 PRAIRE PINES DRIVE
City: Fosston
State: Minnesota
ZIP Code: 56542
Phone: (218) 435-7682

Authorized Official

Name: KIM BODENSTEINER
Title: CFO
Phone: (218) 435-7633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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