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Contact Information

OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
716 SIBLEY AVE
GAYLORD, MN55334-2386
 Phone: 507-237-2911
 Fax: 507-237-5744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC

NPI Number 1760667489
LBN Legal business name OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
Authorized official MICHAEL MONTAG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2007
Last updated 12/31/2007 - About 18 years ago
Identifiers
MN License # 338323
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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