NPI 1023187218

Moose Lake Community Hospital District

Organisation Skilled Nursing Facility Moose Lake, MN

Practice location

Address: 710 S Kenwood Ave, Moose Lake, MN 55767-9405
Phone: (218) 485-4481
Fax: (218) 485-5845

Authorised official

Name: Jason Douglas
Title: Chief Executive Officer
Phone: (218) 485-5858

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 330782 (MN)

Other Skilled Nursing Facility providers in Minnesota →

Registry record

NPI: 1023187218
Entity type: Organization
NPI issued: 6 Nov 2006
Record last updated: 22 Aug 2020

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.