Edgewood Hermantown II Senior Living LLC
NPI #1083898860 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1083898860
- Entity Type
- Organization
- Organization Name
- Edgewood Hermantown II Senior Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 28, 2007
- Last Updated
- May 26, 2011
Practice Location
- Address
- 4125 WESTBERG RD
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-3923
- Phone
- (701) 738-2000
Authorized Official
- Name
- RON WHETTER
- Title
- VP BUDGET AND FINANCE
- Phone
- (701) 738-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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