National Provider Identifier Database

PRAIRIE PINES COMMUNITY
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

PRAIRIE PINES COMMUNITY
903 PRAIRE PINES DRIVE
FOSSTON, MN56542
Phone: 218-435-7682
Fax: 701-364-8476
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for PRAIRIE PINES COMMUNITY

NPI Number 1407268642
Legal business name
LBN
PRAIRIE PINES COMMUNITY
Authorized official KIM BODENSTEINER - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 05/22/2014
Last updated 10/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 364748

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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