1760667489 NPI number — OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760667489 NPI number — OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760667489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1570 TOWER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH MANKATO
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56003-2520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-387-2037
Provider Business Mailing Address Fax Number:
507-387-6011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
716 SIBLEY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GAYLORD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55334-2386
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-237-2911
Provider Business Practice Location Address Fax Number:
507-237-5744
Provider Enumeration Date:
12/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MONTAG
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
507-381-1312

Provider Taxonomy Codes

  • Taxonomy code: 311500000X , with the licence number:  338323 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com