Benedictine Living Community of Mora
Organization Active NPI Home Health Agency · Mora, MN
NPI 1003425075 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1003425075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- BENEDICTINE LIVING COMMUNITY OF MORA
- Practice address
- 110 7TH St N
Mora, MN 55051-1110 - Phone
- (320) 679-1411
- NPI assigned
- Jul 27, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Gleason
- Title
- Chief Operating Officer
- Phone
- (763) 231-0410
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Benedictine Living Community of Mora
Locations
110 7th St N
Mora, MN 55051
Phone (320) 679-1411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
110 7TH St N
Mora, MN 55051-1110
Mailing address
110 7TH St N
Mora, MN 55051-1110
Phone (320) 679-1411
Other names
- St. Clare Home Health
Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.