Basic Information
| Provider Information | |||||||||
| NPI: | 1104864149 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THRO COMPANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1236 | ||||||||
| Address2: | |||||||||
| City: | MANKATO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 560021236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5076258741 | ||||||||
| FaxNumber: | 5073874838 | ||||||||
| Practice Location | |||||||||
| Address1: | 202 LACLAIRE ST BOX 60 | ||||||||
| Address2: | LAKE CRYSTAL HEALTH CARE CENTER | ||||||||
| City: | LAKE CRYSTAL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 560550060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5077262669 | ||||||||
| FaxNumber: | 5077262185 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | THRO | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5076258741 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 330597 | MN | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.