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KC Companies of Sandstone Inc/Sandstone Golden Horizons

Organization Active NPI Assisted Living Facility · Sandstone, MN

NPI 1972034189 · NPPES record last updated Mar 21, 2017

Key facts

NPI
1972034189
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS
Practice address
1109 Lundorff
Sandstone, MN 55072
Phone
(320) 216-7300
Fax
(320) 216-7022
NPI assigned
Mar 21, 2017
Organization subpart
No

Authorized official

Name
Mr. Charles Joseph Lane
Title
Principal
Phone
(218) 568-6610

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2126012Sandstone Golden Horizons
1109 Lundorff Drive, Sandstone, MN 55072		Certificate of waiverFeb 16, 2027

National Provider Directory

Locations

30184 Old Highway 371
Pequot Lakes, MN 56472

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MN Yes

Addresses

Primary practice location

1109 Lundorff
Sandstone, MN 55072

Mailing address

PO Box 379
30184 Old Hwy 371
Pequot Lakes, MN 56472
Phone (218) 568-6610

Other providers in Sandstone, MN

All providers in Sandstone, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.