Healthcare Provider Details

I. General information

NPI: 1366400822
Provider Name (Legal Business Name): CURA OF MELROSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 MAIN ST W
MELROSE MN
56352-1043
US

IV. Provider business mailing address

525 W. MAIN STREET
MELROSE MN
56352
US

V. Phone/Fax

Practice location:
  • Phone: 320-256-4231
  • Fax: 320-256-4949
Mailing address:
  • Phone: 320-256-4231
  • Fax: 320-256-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number328452
License Number StateMN

VIII. Authorized Official

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