Oak Terrace Senior Housing of Gaylord,llc

NPI #1760667489 in Gaylord, Minnesota

Provider Information

NPI Number
1760667489
Entity Type
Organization
Organization Name
Oak Terrace Senior Housing of Gaylord,llc
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Dec 31, 2007
Last Updated
Dec 31, 2007

Practice Location

Address
716 SIBLEY AVE
ZIP Code
55334-2386
Phone
(507) 237-2911

Authorized Official

Name
MR. MICHAEL DAVID MONTAG
Title
PRESIDENT
Phone
(507) 381-1312

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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Provider Name
Range Regional Health Services

Part of Range Regional Health Services

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