Organization Name: | KNUTE NELSON |
NPI Number: | 1801269782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARNIE M GUGISBERG (SR. VP/CFO) |
Mailing Address: | 420 12th Ave E Alexandria |
State: | MN US |
Postal Code: | 563082612 |
Phone Number: | 3207636653 |
Fax Number: | 3207637548 |
NPI Enumeration Date: | 11/02/2015 |
NPI Last Update Date: | 11/02/2015 |
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: |