Healthcare Provider Details

I. General information

NPI: 1871653576
Provider Name (Legal Business Name): CURA OF LE SUEUR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S 4TH ST
LE SUEUR MN
56058-2203
US

IV. Provider business mailing address

621 S 4TH ST
LE SUEUR MN
56058-2203
US

V. Phone/Fax

Practice location:
  • Phone: 507-665-3375
  • Fax: 507-665-2191
Mailing address:
  • Phone: 507-665-3375
  • Fax: 507-665-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number00336
License Number StateMN

VIII. Authorized Official

Name: FRED STRUZYK
Title or Position: CFO
Credential:
Phone: 320-249-7364