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General NPI Number Information
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NPI Number | 1598789240
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 9889 PENN AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-2912
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Country | US
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Telephone | 651-631-6450
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Fax | 651-631-6122
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Provider Business Mailing Address
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Address Line | 9889 PENN AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-2912
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Country | US
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Telephone | 952-942-2676
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Fax | 952-948-3081
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Authorized Official
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Title or Position | CFO
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Name | MARK MEYER
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Credential |
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Telephone | 651-631-6102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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