Amazing Love Elderly Care Center LLC

NPI #1003368309 in Randall, Minnesota

Provider Information

NPI Number
1003368309
Entity Type
Organization
Organization Name
Amazing Love Elderly Care Center LLC
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Nov 3, 2016
Last Updated
Nov 3, 2016

Practice Location

Address
7807 EMERALD RD
ZIP Code
56475-2428
Phone
(320) 749-2485

Authorized Official

Name
PENNY JEAN POLING
Title
OWNER/PARTNER
Phone
(218) 296-1872

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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