Provider Demographics
NPI:1912246232
Name:CURA OF MONTICELLO LLC
Entity Type:Organization
Organization Name:CURA OF MONTICELLO LLC
Other - Org Name:CURA OF MONTICELLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-249-7364
Mailing Address - Street 1:1104 E RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8762
Mailing Address - Country:US
Mailing Address - Phone:763-295-5116
Mailing Address - Fax:
Practice Address - Street 1:1104 E RIVER ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8762
Practice Address - Country:US
Practice Address - Phone:763-295-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN245511Medicare Oscar/Certification