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PARK GARDENS OF FERGUS FALLS LLC NPI 1528336005


NPI Information

NPI: 1528336005
Provider Name: PARK GARDENS OF FERGUS FALLS, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D1059387

Address:
215 SKOGMO BLVD
FERGUS FALLS, MN
ZIP 56537
Phone: (952) 888-2923
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PARK GARDENS OF FERGUS FALLS, LLC is an assisted living facility in Fergus Falls, MN. The provider is 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. PARK GARDENS OF FERGUS FALLS, LLC NPI is 1528336005. The provider is registered as an organization entity type.

The provider's business location address is:

215 SKOGMO BLVD
FERGUS FALLS, MN
ZIP 56537-289
Phone: (952) 888-2923
Fax: (952) 345-4465

The provider's authorized official is Howard Groff .
The authorized official title is President and has the following contact phone number (952) 888-2923.

The CLIA number assigned to this NPI record is 24D1059387 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 12/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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