SAINT THERESE OF CORCORAN, LLC; NPI #1750126397

Contact Information

SAINT THERESE OF CORCORAN, LLC

19800 79TH PLACE
CORCORAN, MN 55340

Phone: 763-567-4700
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for SAINT THERESE OF CORCORAN, LLC

NPI #	`1750126397`
LBN Legal business name	SAINT THERESE OF CORCORAN, LLC
Authorized official	CAL SHELANGOSKI - (CHIEF FINANCIAL OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/26/2024
Last updated	06/26/2024 - More than a year 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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