Gaylord Lakeview Home

LBN: Gaylord Lakeview Home
Gaylord Lakeview Home is an health care organization with primary practice located at 640 3Rd St , Gaylord MN 55334-2297. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Gaylord Lakeview Home can be contacted via phone (507) 237-2911, or through Zellner, Mary Nell via phone (507) 237-2911.

Contact Information

Primary practice address
640 3Rd St Gaylord MN 55334-2297
Phone: (507) 237-2911
Fax: (507) 237-5744
Website:
Map and Directions
Authorized official contact:
Name: Zellner, Mary Nell
Phone: (507) 237-2911

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 318160 Minnesota

Profile Details

NPI number 1750388336
LBN Legal business name Gaylord Lakeview Home
DBA Doing business as
Authorized official Zellner, Mary Nell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750388336 NPPES
Minnesota Other 9711LA BLUE CROSS BLUE SHIELD
Minnesota Other 71-22555 BLUE CROSS BLUE SHIELD

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