| Organization Name: | LIFECARE MEDICAL CENTER |
| NPI Number: | 1760478929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHERINE A. HUSS (CFO) |
| Mailing Address: | 715 Delmore Dr Roseau |
| State: | MN US |
| Postal Code: | 567511534 |
| Phone Number: | 2184632500 |
| Fax Number: | 2184634782 |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 06/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |