NPI 1679116503 · live from the CMS NPI Registry
Avera Granite Falls
Skilled Nursing Facility in Granite Falls, MN. National Provider Identifier 1679116503, active.
NPI record
| NPI | 1679116503 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 250 Jordan Dr, Granite Falls, MN 56241 |
| Practice phone | 320-564-3111 |
| Mailing address | 300 S Bruce St, Marshall, MN 56258 |
| Enumerated | October 23, 2019 |
| Last updated | June 30, 2021 |
| Authorized official | Debra Streier, President/Ceo |
| Other names | Avera Granite Falls Care Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.