NPI 1811293590 · live from the CMS NPI Registry
Benedictine Living Community Of Mora
Skilled Nursing Facility in Mora, MN. National Provider Identifier 1811293590, active.
NPI record
| NPI | 1811293590 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 110 7th St N, Mora, MN 55051 |
| Practice phone | 320-679-1411 |
| Enumerated | January 28, 2011 |
| Last updated | August 27, 2012 |
| Authorized official | Jack L'Heureux, Administrator/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | — |
| Skilled Nursing Facility primary | 314000000X | — (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.