Walnut Grove Home
NPI #1104603299 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1104603299
- Entity Type
- Organization
- Organization Name
- Walnut Grove Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Sep 12, 2023
Practice Location
- Address
- 13708 PORTLAND AVE
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4128
- Phone
- (320) 223-9249
Authorized Official
- Name
- JINYI SLAGLE WU
- Title
- PRESIDENT
- Phone
- (320) 223-9249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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