National Provider Identifier Database

SAINT THERESE OF CORCORAN LLC
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

SAINT THERESE OF CORCORAN, LLC
19800 79TH PLACE
CORCORAN, MN55340
Phone: 763-567-4700
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for SAINT THERESE OF CORCORAN, LLC

NPI Number 1750126397
Legal business name
LBN
SAINT THERESE OF CORCORAN, LLC
Authorized official CAL SHELANGOSKI - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/26/2024
Last updated 06/26/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for SAINT THERESE OF CORCORAN, LLC

There are currently no reviews for SAINT THERESE OF CORCORAN, LLC


NPIdb - Home
v2.201