Healthcare Provider Details

I. General information

NPI: 1134350887
Provider Name (Legal Business Name): THREE LINKS MANAGEMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 08/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BIRCH ST NE
LONSDALE MN
55046
US

IV. Provider business mailing address

815 FOREST AVE
NORTHFIELD MN
55057-1643
US

V. Phone/Fax

Practice location:
  • Phone: 507-744-3453
  • Fax:
Mailing address:
  • Phone: 507-664-8815
  • Fax: 507-645-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateMN

VIII. Authorized Official

Name: MRS. PATRICIA J VINCENT
Title or Position: CEO
Credential:
Phone: 507-664-8815