Wildwood Grove
NPI #1184833394 in Le Roy, Minnesota
Provider Information
- NPI Number
- 1184833394
- Entity Type
- Organization
- Organization Name
- Wildwood Grove
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- GERALD A PAYNE
- Title
- PRESIDENT OF BOARD
- Phone
- (507) 324-5260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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