Five Star Assisted Living Services, Llc

NPI 1780939132 - Assisted Living Facility - 310400000X

NPI Details
NPI 1780939132
Enumeration Date 07/20/2012
Last Updated 03/07/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NATALIE NATALIE
Position CEO
Phone (218) 625-2319
Fax (218) 625-2338
Practice Location
6353 E SUPERIOR STREET
DULUTH MN, 55804-2545, US
Phone (218) 625-2319
Fax (218) 625-2338
Business Location
2701 W. SUPERIOR STREET
SUITE 101
DULUTH MN, 55806, US
Phone (218) 625-2319
Fax (218) 625-2338
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 358130
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According to our database, Five Star Assisted Living Services, Llc NPI is 1780939132, taxonomy code is 310400000X and license number is 358130, license state is located at Minnesota. Five Star Assisted Living Services, Llc physically located at 6353 E Superior Street, Duluth MN, 55804-2545. NPI Number 1033115704 has the healthcare provider type.

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1780939132 NPI number is provided on an as is basis without warranty of any kind. 1780939132 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Assisted Living Services, Llc are for informational purposes only.