Whalio Doctors

NPI 1003899402

Central Todd County Care Center, INC.

Organisation Skilled Nursing Facility Clarissa, MN

Practice location

Address
406 Highway 71 E, Clarissa, MN 56440-2000
Phone
(218) 756-3636
Fax
(218) 756-2276
Mailing address
PO Box 38 406 East Highway 71, Clarissa, MN 56440-0038

Authorised official

Name
Jason E Polovick
Title
Nursing Home Administrator
Phone
(218) 756-3636

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 328579 (MN)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 329956 (MN)

Registry record

NPI
1003899402
Entity type
Organization
NPI issued
21 Nov 2005
Record last updated
20 Jan 2011

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.