BROOKE MANOR INC; NPI #1285073783

Contact Information

BROOKE MANOR INC

4878 HWY 31
BROOKSTON, MN 55711

Phone: 218-453-5262
Fax: 218-453-1023
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for BROOKE MANOR INC

NPI Number 1285073783

LBN Legal business name BROOKE MANOR INC

Authorized official VIRGINIA TUOMINEN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/18/2013

Last updated 06/18/2013 - About 13 years ago

Identifiers

License #

362531

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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