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General NPI Number Information
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NPI Number | 1669410973
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Entity Type | Organization
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Legal Business Name | THRO COMPANY
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1001 COLUMBUS AVE NO MALA STRANA HEALTH CARE CENTER
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City | NEW PRAGUE
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State | MN
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Zip | 56071-2098
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Country | US
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Telephone | 952-758-2511
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Fax | 952-758-2514
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Provider Business Mailing Address
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Address Line | PO BOX 1236
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City | MANKATO
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State | MN
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Zip | 56002-1236
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Country | US
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Telephone | 507-625-8741
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Fax | 507-387-4838
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER C THRO
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Credential |
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Telephone | 507-625-8741
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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 | 330691
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License Number State | MN
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