Lake Ridge Care Center Of Buffalo, Inc. in Buffalo - Skilled Nursing Facility
Lake Ridge Care Center Of Buffalo, Inc. - NPI 1174511828
Lake Ridge Care Center Of Buffalo, Inc. is a Skilled Nursing Facility in Buffalo, Minnesota. Lake Ridge Care Center Of Buffalo, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lake Ridge Care Center Of Buffalo, Inc. is 1174511828. The last update date is 2023-04-06.
Lake Ridge Care Center Of Buffalo, Inc.'s current location address is 310 Lake Blvd S, Buffalo, Minnesota. You can contact this provider via phone number 7636821434 and fax number 7636826419. The mailing address for Lake Ridge Care Center Of Buffalo, Inc. is 310 Lake Blvd S, Buffalo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Ridge Care Center Of Buffalo, Inc. |
|---|---|
| Address | 310 Lake Blvd S, Buffalo, Minnesota |
| Phone Number | 7636821434 |
| Fax Number | 7636826419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR DIR |
|---|---|
| Authorized Official Name | Stadtherr Seelochani |
| Telephone Number | 9528555041 |
NPI Number Detail
| NPI Number | 1174511828 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2023-04-06 |
Provider Mailing Address Detail
| Address | 310 Lake Blvd S |
|---|---|
| City | Buffalo |
| State | Minnesota (MN) |
| Post Code | 553131456 |
| Phone Number | 7636821434 |
| Fax Number | 7636826419 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 327290 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327290 | MN | MINNESOTA STATE LICENSE | |
| 66663700 | MN | -- |
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What is the Lake Ridge Care Center Of Buffalo, Inc.'s 1174511828?
The Lake Ridge Care Center Of Buffalo, Inc.'s NPI (National Provider Identifier) Number is 1174511828. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Ridge Care Center Of Buffalo, Inc. located?
The Lake Ridge Care Center Of Buffalo, Inc. is located at 310 Lake Blvd S, Buffalo, MN 553131456.
What is the Lake Ridge Care Center Of Buffalo, Inc.'s specialty and taxonomy code?
The Lake Ridge Care Center Of Buffalo, Inc.'s specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174511828 to Lake Ridge Care Center Of Buffalo, Inc.?
The Lake Ridge Care Center Of Buffalo, Inc. received its 1174511828 assignment from the Centers for Medicare & Medicaid Services on 2005-10-07.
When was the information pertaining to Lake Ridge Care Center Of Buffalo, Inc. most recently updated or revised?
The details related to Lake Ridge Care Center Of Buffalo, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-04-06.
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