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Contact Information

KC COMPANIES OF CROSSLAKE, INC.
13631 E SHORE RD
CROSSLAKE, MN56442
 Phone: 218-692-6650
 Fax: 218-692-6652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for KC COMPANIES OF CROSSLAKE, INC.

NPI Number 1184876443
LBN Legal business name KC COMPANIES OF CROSSLAKE, INC.
Authorized official BERNICE PHELPS - (ACCOUNTING DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2008
Last updated 10/17/2008 - About 18 years ago
Identifiers n/a
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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