Villa St Vincent

NPI Provider: 1215932728
Contact Name: Siekas D Michael
Position: administrator
Phone: (218) 281-3424

Villa St Vincent Information:

Villa St Vincent organization have npi 1215932728, taxonomy code is 310400000X with license number is 325662 in . This Business address located in 516 Walsh St, Crookston, MN 56716 Minnesota.

Practice Location
Address: 516 Walsh St, Crookston, MN 56716
Phone: (218) 281-3424

Business Location
Address: 516 Walsh St, Crookston, MN 56716
Phone: (218) 281-3424
Fax: (218) 281-4755

Taxonomy

Taxonomy Code: 310400000X

License Number: 325662

License Number of State: MN

Primary Taxonomy Switch: X

Enumeration Date: 6/21/2005

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