Provider Demographics
NPI:1255844734
Name:CURA OF WILLMAR LLC
Entity Type:Organization
Organization Name:CURA OF WILLMAR LLC
Other - Org Name:CARRIS HEALTH - CARE CENTER & THERAPY SUITES
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STRUZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-249-7364
Mailing Address - Street 1:1801 WILLMAR AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-2882
Mailing Address - Country:US
Mailing Address - Phone:320-217-2400
Mailing Address - Fax:
Practice Address - Street 1:1801 WILLMAR AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-2882
Practice Address - Country:US
Practice Address - Phone:320-214-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility