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Contact Information

FIVE STAR LIVING OF BRAINERD, LLC
14398 GRAND OAKS DRIVE
BAXTER, MN56425
 Phone: 218-625-2316
 Fax: 218-625-2338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for FIVE STAR LIVING OF BRAINERD, LLC

NPI Number 1508080631
LBN Legal business name FIVE STAR LIVING OF BRAINERD, LLC
Authorized official LYNN GEVIK - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 333812
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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