Edgewood Hermantown Ii Senior Living Llc

NPI 1083898860 - Assisted Living Facility - 310400000X

NPI Details
NPI 1083898860
Enumeration Date 12/28/2007
Last Updated 05/26/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RON RON
Position VP BUDGET AND FINANCE
Phone (701) 738-2000
Fax (701) 738-2001
Practice Location
4125 WESTBERG RD
HERMANTOWN MN, 55811-3923, US
Phone (701) 738-2000
Fax (701) 738-2001
Business Location
2850 24TH AVE S
SUITE 201
GRAND FORKS ND, 58201-5831, US
Phone (701) 738-2000
Fax (701) 738-2001
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 338365
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According to our database, Edgewood Hermantown Ii Senior Living Llc NPI is 1083898860, taxonomy code is 310400000X and license number is 338365, license state is located at Minnesota. Edgewood Hermantown Ii Senior Living Llc physically located at 4125 Westberg Rd, Hermantown MN, 55811-3923. NPI Number 1033115704 has the healthcare provider type.

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1083898860 NPI number is provided on an as is basis without warranty of any kind. 1083898860 is maintained by the National Plan & Provider Enumeration System. The contents of Edgewood Hermantown Ii Senior Living Llc are for informational purposes only.