| Organization Name: | PARKVIEW CARE CENTER - ALBERT LEA MEDICAL CENTER |
| NPI Number: | 1801996129 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN WALDHOFF (CAO) |
| Mailing Address: | 55 10th St Se Wells |
| State: | MN US |
| Postal Code: | 560971814 |
| Phone Number: | 5075533115 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 03/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 329923 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |