Legacy Senior Services in Frazee - Skilled Nursing Facility

Legacy Senior Services - NPI 1255510889

Legacy Senior Services is a Skilled Nursing Facility in Frazee, Minnesota. Legacy Senior Services practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Legacy Senior Services is 1255510889. The last update date is 2023-11-28.

Legacy Senior Services's current location address is Po Box 96, Frazee, Minnesota. You can contact this provider via phone number 2183344501 and fax number 2183344500. The mailing address for Legacy Senior Services is Po Box 96, Frazee, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Legacy Senior Services
Address Po Box 96, Frazee, Minnesota
Phone Number 2183344501
Fax Number 2183344500
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lunde R Eric
Telephone Number 6126955618

NPI Number Detail

NPI Number 1255510889
Provider Enumeration Date 2007-10-31
Last Updated Date 2023-11-28

Provider Mailing Address Detail

Address Po Box 96
City Frazee
State Minnesota (MN)
Post Code 565440096
Phone Number 2183344501
Fax Number 2183344500

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 337844
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4980495 MN MEDICA WAIVER
7122681 MN MEDICA INSURANCE
5L06FR MN BLUECROSS BLUESHIELD
7100395 MN MEDICA MSHO
80314 MN UNICARE
972153000 MN --

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FAQs about Legacy Senior Services

What is the unique 10-digit identifier code issued to Legacy Senior Services by the Centers for Medicare & Medicaid Services?

The Legacy Senior Services has been assigned the NPI (National Provider Identifier) 1255510889 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Legacy Senior Services's physical address?

The Legacy Senior Services is physically located at Po Box 96, in the city of Frazee, MN, with the postal code 565440096.

What is Legacy Senior Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Legacy Senior Services's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

When was the Legacy Senior Services's 1255510889 issued?

The Legacy Senior Services's 1255510889 was issued on 2007-10-31.

As of what date was the information regarding Legacy Senior Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Legacy Senior Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-28.

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