State of Minnesota - Minnesota Management and Budget
NPI #1609217900 in Fergus Falls, Minnesota
Provider Information
- NPI Number
- 1609217900
- Entity Type
- Organization
- Organization Name
- State of Minnesota - Minnesota Management and Budget
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 15, 2013
- Last Updated
- Oct 5, 2017
Practice Location
- Address
- 1821 N PARK ST
- City
- Fergus Falls
- State
- Minnesota
- ZIP Code
- 56537-1247
- Phone
- (218) 226-6300
Authorized Official
- Name
- SCOTT BUCHANAN
- Title
- ADMINISTRATOR
- Phone
- (218) 736-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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