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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