Country Manor Campus LLC

NPI #1902795123 in Sartell, Minnesota

Provider Information

NPI Number
1902795123
Entity Type
Organization
Organization Name
Country Manor Campus LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTRY MANOR CAMPUS LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 1, 2025
Last Updated
Jul 1, 2025

Practice Location

Address
520 1ST ST NE
ZIP Code
56377-1274
Phone
(320) 253-1920

Authorized Official

Name
KEVIN G HARGUTH
Title
CFO
Phone
(320) 258-8983

Specialties & Taxonomy Codes

Specialty
Home Health
Assisted Living Facility

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