Healthcare Provider Details
I. General information
NPI: 1912246232
Provider Name (Legal Business Name): CURA OF MONTICELLO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2013
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1104 E RIVER ST
MONTICELLO MN
55362-8762
US
IV. Provider business mailing address
1104 E RIVER ST
MONTICELLO MN
55362-8762
US
V. Phone/Fax
- Phone: 763-295-5116
- Fax:
- Phone: 763-295-5116
- 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 | |
VIII. Authorized Official
Name:
FRED
STRUZYK
Title or Position: CFO
Credential:
Phone: 320-249-7364