Mccornell Court

NPI #1700115003 in Parkers Prairie, Minnesota

Provider Information

NPI Number
1700115003
Entity Type
Organization
Organization Name
Mccornell Court
Subpart
Yes (part of a larger organization)
Parent Organization
ST. WILLIAMS LIVING CENTER
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 15, 2009
Last Updated
Dec 22, 2009

Practice Location

Address
122 NO. MCCORNELL AVENUE
ZIP Code
56361
Phone
(218) 338-4671

Authorized Official

Name
MR. PAUL C. BAER
Title
ADMINISTRATOR
Phone
(218) 338-4671

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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