NPI | 1932738218 |
---|---|
Doing Business As | ESSENTIA HEALTH MOOSE LAKE (SWING BED) |
Entity Type | Organization |
Authorized Contact | BRADLEY BEARD Chief Operating Officer 218-786-2652 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-02-27 |