Organization Name: | KNUTE NELSON |
NPI Number: | 1548517675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARNIE GUGISBERG (CFO) |
Mailing Address: | 2715 Highway 29 S Suite 103 Alexandria |
State: | MN US |
Postal Code: | 563084548 |
Phone Number: | 3207591270 |
Fax Number: | 3207591271 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |