Healthcare Provider Details

I. General information

NPI: 1255844734
Provider Name (Legal Business Name): CURA OF WILLMAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 08/15/2024
Certification Date: 04/10/2024
Deactivation Date: 08/01/2024
Reactivation Date: 08/15/2024

III. Provider practice location address

1801 WILLMAR AVE SW
WILLMAR MN
56201-2882
US

IV. Provider business mailing address

1801 WILLMAR AVE SW
WILLMAR MN
56201-2882
US

V. Phone/Fax

Practice location:
  • Phone: 320-214-2700
  • Fax:
Mailing address:
  • Phone: 320-217-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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