Edgewood Brainerd Senior Living LLC

NPI #1205010147 in Brainerd, Minnesota

Provider Information

NPI Number
1205010147
Entity Type
Organization
Organization Name
Edgewood Brainerd Senior Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 27, 2007
Last Updated
Dec 27, 2007

Practice Location

Address
14890 BEAVER DAM RD
ZIP Code
56401-6019
Phone
(701) 738-2000

Authorized Official

Name
GENE HYSJULIEN
Title
CEO
Phone
(701) 738-2000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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