Provider Demographics
NPI:1487730206
Name:UNITY FAMILY HEALTHCARE
Entity type:Organization
Organization Name:UNITY FAMILY HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVAKOSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-632-1219
Mailing Address - Street 1:1100 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3545
Mailing Address - Country:US
Mailing Address - Phone:320-632-1212
Mailing Address - Fax:320-632-1383
Practice Address - Street 1:1100 4TH ST SE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3545
Practice Address - Country:US
Practice Address - Phone:320-632-1212
Practice Address - Fax:320-632-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN806937315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities