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Contact Information

FARIBAULT SENIOR LIVING LLC
843 FARIBAULT ROAD
FARIBAULT, MN55021
 Phone: 507-334-5009
 Fax: 651-454-4783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for FARIBAULT SENIOR LIVING LLC

NPI # 1770873937
LBN Legal business name FARIBAULT SENIOR LIVING LLC
Authorized official KELLY MYERS - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2011
Last updated 04/08/2011 - About 15 years 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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