Country Manor Campus LLC

NPI #1760630214 in Sartell, Minnesota

Provider Information

NPI Number
1760630214
Entity Type
Organization
Organization Name
Country Manor Campus LLC
Subpart
Yes (part of a larger organization)
Parent Organization
THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Sep 8, 2008
Last Updated
Jun 30, 2021

Practice Location

Address
520 1ST ST NE
ZIP Code
56377-1274
Phone
(320) 258-8972

Authorized Official

Name
MR. KEVIN HARGUTH
Title
C.F.O.
Phone
(320) 258-8983

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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