Organization · Type 2 NPI

State of Minnesota - Minnesota Management and Budget

Skilled Nursing Facility · Montevideo, MN

NPI number 1407562309 Active

Practice location

2190 William Avenue
Montevideo, MN 56265-2273

Fax (612) 548-5964

Mailing address

5101 Minnehaha Ave. S
Minneapolis, MN 55417-1647

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1407562309

State of Minnesota - Minnesota Management and Budget's National Provider Identifier is 1407562309, issued on Jan 25, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Montevideo, MN. The record was last updated on Dec 3, 2024.