Country Manor Campus LLC

NPI #1952575011 in Sartell, Minnesota

Provider Information

NPI Number
1952575011
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
Skilled Nursing Facility
Enumeration Date
Apr 18, 2008
Last Updated
Jun 30, 2021

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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