Healthcare Provider Details

I. General information

NPI: 1033731856
Provider Name (Legal Business Name): REDWOOD LAMBERTON HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 05/14/2020
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 9TH AVE E
LAMBERTON MN
56152-1024
US

IV. Provider business mailing address

200 9TH AVE E
LAMBERTON MN
56152-1024
US

V. Phone/Fax

Practice location:
  • Phone: 507-752-7346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STEVEN ROHINSKY
Title or Position: PRESIDENT
Credential:
Phone: 507-752-7346