Halstad Living Center

NPI #1629066824 in Halstad, Minnesota

Provider Information

NPI Number
1629066824
Entity Type
Organization
Organization Name
Halstad Living Center
Subpart
Yes (part of a larger organization)
Parent Organization
LUTHERAN HOMES
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 11, 2005
Last Updated
Mar 22, 2012

Practice Location

Address
133 4TH AVE E
ZIP Code
56548-4114
Phone
(218) 456-2105

Authorized Official

Name
MR. DWIGHT A FUGLIE, LICENSED ADM.
Title
EXECUTIVE DIRECTOR
Phone
(218) 456-2105

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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