Provider Demographics
NPI:1851548465
Name:OWATONNA COMMONS NURSING & REHABILITATION, INC.
Entity Type:Organization
Organization Name:OWATONNA COMMONS NURSING & REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:440-937-6201
Mailing Address - Street 1:201 18TH ST SW
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-3913
Mailing Address - Country:US
Mailing Address - Phone:507-451-6800
Mailing Address - Fax:
Practice Address - Street 1:201 18TH ST SW
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-3913
Practice Address - Country:US
Practice Address - Phone:507-451-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9613225314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility