IndividualActive
Michael Manu
NPI 1053289470 · Adult Care Home Facility · Fergus Falls, MN
Provider details
- NPI number
- 1053289470
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1129018 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
906 S Martin St
Fergus Falls, MN 56537-3248
Phone: (346) 324-1346
Approximate (ZIP-level) locationGet directions
Mailing address
906 S Martin St
Fergus Falls, MN 56537-3248
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.