FARIBAULT OPS LLC NPI 1902282866

NPI Information

  • NPI: 1902282866
  • Provider Name: FARIBAULT OPS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: KEYSTONE FARIBUALT
  • Address: 828 1ST ST NE
    FARIBAULT, MN
    ZIP 55021
  • Phone: (507) 332-2555

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NPI Details

FARIBAULT OPS LLC is an assisted living facility in Faribault, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FARIBAULT OPS LLC NPI is 1902282866. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Faribualt.

The provider's business location address is:

828 1ST ST NE
FARIBAULT, MN
ZIP 55021-438
Phone: (507) 332-2555
Fax: (507) 332-9010

The provider's authorized official is Ryan Novaczyk .
The authorized official title is President and has the following contact phone number (952) 241-8204.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 3/30/2025

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