Good Shepherd Lutheran Home Of Sauk Rapids Minnesota
Home Health in Sauk Rapids, MN. Organization (NPI-2).
NPI number1245306737
StatusActive
Last updated in NPPESDec 21, 2010
Details
- NPI
- 1245306737
- Entity type
- Organization (NPI-2)
- Legal business name
- Good Shepherd Lutheran Home Of Sauk Rapids Minnesota
- Organization subpart
- No
- Enumeration date
- Nov 27, 2006
- Last updated
- Dec 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 333736 | MN | Yes |
Other names
- Good Shepherd Home Health Care (Doing Business As)
Practice location
1115 4th Ave NSauk Rapids, MN 56379-2201
Phone 320-252-6525 · Fax 320-259-3463
Mailing address
1115 4th Ave NSauk Rapids, MN 56379-2201
Phone 320-252-6525 · Fax 320-259-3463
Authorized official
Bruce Allen Glanzer
Administrator Ceo
3202526525
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