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General NPI Number Information
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NPI Number | 1790785194
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Entity Type | Organization
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Legal Business Name | TUFF MEMORIAL HOME
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 505 E 4TH ST
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City | HILLS
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State | MN
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Zip | 56138-1017
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Country | US
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Telephone | 507-962-3275
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Fax | 507-962-3277
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Provider Business Mailing Address
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Address Line | 505 E 4TH ST
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City | HILLS
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State | MN
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Zip | 56138-1017
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Country | US
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Telephone | 507-962-3275
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Fax | 507-962-3277
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATIE L KENDALL
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Credential | LNHA
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Telephone | 507-962-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 328220
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License Number State | MN
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