Villa St. Vincent, NPI 1215932728
Assisted Living Facility in Crookston, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215932728
NPI Entity Type Organization
Provider Name Villa St. Vincent
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 516 Walsh St, Crookston, MN, US
Provider Mailing Address 516 Walsh St, Crookston, MN, US, 56716
Is Sole Proprietor? No
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Organization Official

Official Name Judy Hulst
Official Position CEO/ADMINISTRATOR
Phone 218-281-9700

Primary Taxonomy

Taxonomy Code

310400000X

Taxonomy Name Assisted Living Facility
Classification

Assisted Living Facility

Group

Nursing & Custodial Care Facilities

License No. 325662
License State MN
Description A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Business Address

Villa St. Vincent
516 Walsh St

Crookston, MN, US

Phone: 218-281-3424
Fax: 218-281-4755

Mailing Address

Villa St. Vincent
516 Walsh St
Crookston, MN, US
ZIP 56716
Phone: 218-281-3424
Fax: 218-281-4755

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8756VI MN BLUE CROSS INSURANCE 01
177240600 MN MEDICAID 05

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