Provider Demographics
NPI:1467726505
Name:CENTRAL MINNESOTA SENIOR HOUSING, LLC
Entity Type:Organization
Organization Name:CENTRAL MINNESOTA SENIOR HOUSING, LLC
Other - Org Name:SUNRISE OF MANKATO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-345-8787
Mailing Address - Street 1:300 BUNTING LN
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7020
Mailing Address - Country:US
Mailing Address - Phone:507-345-8787
Mailing Address - Fax:507-345-8870
Practice Address - Street 1:300 BUNTING LN
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7020
Practice Address - Country:US
Practice Address - Phone:507-345-8787
Practice Address - Fax:507-345-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN352098310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility