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General NPI Number Information
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NPI Number | 1467313767
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Entity Type | Organization
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Legal Business Name | OAK TERRACE SENIOR HOUSING OF ST. PETER
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1807 SUNRISE DR
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City | SAINT PETER
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State | MN
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Zip | 56082-5375
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Country | US
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Telephone | 507-387-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 HOOVER DR
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City | NORTH MANKATO
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State | MN
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Zip | 56003-2667
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Country | US
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Telephone | 507-387-8340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DREW MICHAEL HOOD
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Credential | LNHA, LALD
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Telephone | 507-387-8340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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