Country Manor Campus LLC
NPI #1942763313 in Saint Joseph, Minnesota
Provider Information
- NPI Number
- 1942763313
- Entity Type
- Organization
- Organization Name
- Country Manor Campus LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COUNTRY MANOR CAMPUS LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Jun 30, 2021
Practice Location
- Address
- 1200 LANIGAN WAY SW
- City
- Saint Joseph
- State
- Minnesota
- ZIP Code
- 56374-4732
- Phone
- (320) 253-3343
Authorized Official
- Name
- KEVIN HARGUTH
- Title
- C.F.O.
- Phone
- (320) 258-8983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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