Organization · Type 2 NPI

Halstad Living Center

Skilled Nursing Facility · Halstad, MN

NPI number 1629066824 Active

Practice location

133 4th Ave E
Halstad, MN 56548-4114

Fax (218) 456-2290

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	328227 (MN)

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…

NPI record

NPI: 1629066824
Entity type: Organization (Type 2)
Issued: Oct 11, 2005
Last updated: Mar 22, 2012
Status: Active
Subpart: Yes of Lutheran Homes

Other names

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Halstad Living Center · doing business as

Authorized official

Mr. Dwight A Fuglie, LICENSED ADM.
Executive Director
(218) 456-2105

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About NPI 1629066824

Halstad Living Center's National Provider Identifier is 1629066824, issued on Oct 11, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Halstad, MN. The record was last updated on Mar 22, 2012.