Faribault Ops LLC

Assisted Living Facility · Faribault, MN

Organization Active NPI

NPI number 1902282866

Practice location

828 1st St NE
Faribault, MN 55021-5438
Phone
(507) 332-2555
Fax
(507) 332-9010

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NPI record

NPI
1902282866
Entity type
Organization (Type 2)
Enumeration date
August 3, 2015
Last updated
August 3, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Mailing address

7625 Golden Triangle Dr
Suite T
Eden Prairie, MN 55344-3710
Phone
(952) 241-8202

Authorized official

Name
Ryan Novaczyk
Title
President
Phone
(952) 241-8204

Other names

  • Keystone Faribualt

About Faribault Ops LLC

Faribault Ops LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 828 1st St NE, Faribault, MN 55021-5438. The NPI number 1902282866 was assigned on August 3, 2015 and the record was last updated on August 3, 2015.

The authorized official for this organization is Ryan Novaczyk, President.

Frequently asked questions

What is the NPI number of Faribault Ops LLC?

The NPI number is 1902282866.

What is the phone number of Faribault Ops LLC?

The phone number listed for the practice location is (507) 332-2555.

Where is Faribault Ops LLC located?

828 1st St NE, Faribault, MN 55021-5438.

What is the taxonomy code for Faribault Ops LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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