Whalio Doctors

NPI 1396918918

Five Star Quality Care - Mn, LLC

Organisation Alzheimer Center (Dementia Center) Rogers, MN

Practice location

Address
20600 S Diamond Lake Rd, Rogers, MN 55374-4515
Phone
(763) 428-1981
Fax
(763) 428-3792
Mailing address
400 Centre St, Newton, MA 02458-2094

Authorised official

Name
Bruce Mackey
Title
Cfo
Phone
(617) 796-8387

Registered specialties

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 339489 (MN)

Registry record

NPI
1396918918
Entity type
Organization
NPI issued
3 Apr 2008
Record last updated
3 Apr 2008

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.