NPI 1003893447
Edgebrook Care Center
Practice location
- Address
- 505 W Trosky Rd, Edgerton, MN 56128-2748
- Phone
- (507) 442-7121
- Fax
- (507) 442-3952
Authorised official
- Name
- John Doughty
- Title
- Administrator
- Phone
- (507) 442-7121
Registered specialties (3)
Skilled Nursing Facility
Primary
Nursing Facility Supplies (DME)
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1003893447
- Entity type
- Organization
- NPI issued
- 28 Dec 2005
- Record last updated
- 28 Dec 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.