Mill Street Residence

LBN: Lrhc Long Term Care Facilities, Inc.
Mill Street Residence is an health care organization with primary practice located at 802 S Mill St , Fergus Falls MN 56537-2750. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Lrhc Long Term Care Facilities, Inc. can be contacted via phone (218) 739-2900, or through Siems, Michael David via phone (218) 736-8590.

Contact Information

Primary practice address
802 S Mill St Fergus Falls MN 56537-2750
Phone: (218) 739-2900
Fax: (218) 739-2192
Website:
Map and Directions
Authorized official contact:
Name: Siems, Michael David
Phone: (218) 736-8590

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 335628 Minnesota

Profile Details

NPI number 1679783997
LBN Legal business name Lrhc Long Term Care Facilities, Inc.
DBA Doing business as Mill Street Residence
Authorized official Siems, Michael David
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated May 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679783997 NPPES
Minnesota MEDICAID 825640300

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