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OAK TERRACE SENIOR HOUSING OF LE SUEUR NPI 1649727231


NPI Information

NPI: 1649727231
Provider Name: OAK TERRACE SENIOR HOUSING OF LE SUEUR
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D1023756

Address:
811 S. 4TH ST.
LE SUEUR, MN
ZIP 56058
Phone: (507) 593-8500
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OAK TERRACE SENIOR HOUSING OF LE SUEUR is an assisted living facility in Le Sueur, 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. OAK TERRACE SENIOR HOUSING OF LE SUEUR NPI is 1649727231. The provider is registered as an organization entity type.

The provider's business location address is:

811 S. 4TH ST.
LE SUEUR, MN
ZIP 56058-203
Phone: (507) 593-8500
Fax: (507) 665-4303

The provider's authorized official is Drew Michael Hood .
The authorized official title is Administrator and has the following contact phone number (507) 387-2037.

The CLIA number assigned to this NPI record is 24D1023756 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.


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 FacilityMINNESOTAYes

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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