NPI 1003899402 · live from the CMS NPI Registry
Central Todd County Care Center, INC.
Skilled Nursing Facility in Clarissa, MN. National Provider Identifier 1003899402, active.
NPI record
| NPI | 1003899402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 406 Highway 71 E, Clarissa, MN 56440 |
| Practice phone | 218-756-3636 |
| Mailing address | Po Box 38, 406 East Highway 71, Clarissa, MN 56440 |
| Enumerated | November 21, 2005 |
| Last updated | January 20, 2011 |
| Authorized official | Jason Polovick, Nursing Home Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | 329956 (MN) |
| Skilled Nursing Facility primary | 314000000X | 328579 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.