Healthcare Provider Details
I. General information
NPI: 1366346322
Provider Name (Legal Business Name): RESIDENCES AT THORNE CREST REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1201 GARFIELD AVE
ALBERT LEA MN
56007-3637
US
IV. Provider business mailing address
1201 GARFIELD AVE
ALBERT LEA MN
56007-3637
US
V. Phone/Fax
- Phone: 507-373-2311
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MARC
HALPERT
Title or Position: CEO
Credential:
Phone: 507-203-1002