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Contact Information

CORNERSTONE RESIDENCE OF BAGLEY, INC
30 SUNSET AVE SW
BAGLEY, MN56621
 Phone: 218-694-2701
 Fax: 218-694-2718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for CORNERSTONE RESIDENCE OF BAGLEY, INC

NPI Number 1942436985
LBN Legal business name CORNERSTONE RESIDENCE OF BAGLEY, INC
Authorized official ALLEN POTVIN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2009
Last updated 06/04/2009 - About 17 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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