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Contact Information

SENIOR CARE FOREST LAKE, LLC
604 N.E. FIRST STREET
FOREST LAKE, MN55025
 Phone: 651-464-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SENIOR CARE FOREST LAKE, LLC

NPI Number 1114053113
LBN Legal business name SENIOR CARE FOREST LAKE, LLC
Authorized official NANCY RICHTER - (ACCOUNTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 12/27/2022 - About 3 years ago
Identifiers
MN License # 332296
MN Medicaid 399240300
MN Other 8608B BCBS
MN Other HPFIN 231 HEALTHPARTNERS
MN Other NH0004 UCARE
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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