NPI 1952575011 · live from the CMS NPI Registry
Country Manor Campus LLC
Skilled Nursing Facility in Sartell, MN. National Provider Identifier 1952575011, active.
NPI record
| NPI | 1952575011 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 520 1st St Ne, Sartell, MN 56377 |
| Practice phone | 320-253-1920 |
| Enumerated | April 18, 2008 |
| Last updated | June 30, 2021 |
| Authorized official | Kevin Harguth, C.F.O. |
| Other names | Country Manor Health And Rehab 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.